Active NPI
Shannon McLaughlin, OTR/L
- Occupational Therapist
- Wilmington, DE
National Provider Identifier
1831868439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- U1-0012272
- Practice address
- 920 N Van Buren St
Wilmington, DE 19806-4537 - Phone
- (302) 256-8188
- NPI assigned
- Sep 8, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | U1-0012272 | DE | Primary |
Addresses
Primary practice location
920 N Van Buren St
Wilmington, DE 19806-4537
Mailing address
3 E Ackley Ter
Pennsville, NJ 08070-2353
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| U1-0012272 | Medicaid | DE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| U1-0012272 | DE | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631059200000",
"number": "1831868439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 E ACKLEY TER",
"city": "PENNSVILLE",
"state": "NJ",
"postal_code": "080702353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 N VAN BUREN ST",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198064537",
"telephone_number": "302-256-8188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLAUGHLIN",
"first_name": "SHANNON",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-08",
"last_updated": "2021-09-08",
"certification_date": "2021-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "DE",
"license": "U1-0012272",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "U1-0012272",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.