Shannon Shabnam Shafie, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0797 Issued in NV

Practice address

1640 Redstone Center Dr
Suite 200
Park City, UT 84098-7605

Phone

(888) 800-8744

NPI assigned

May 7, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841403995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 COBBLESTONE CT",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831754",
            "telephone_number": "925-487-0997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 REDSTONE CENTER DR",
            "address_2": "SUITE 200",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840987605",
            "telephone_number": "888-800-8744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFIE",
        "first_name": "SHANNON",
        "middle_name": "SHABNAM",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NV",
            "license": "0797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Catherine Schindeler, PA-C
• Colleen M Schubach, OD
• James McEldowney Seabrook III
• Wendy J Seeley, LCSW
• Suzanne H Severini
• Kathryn Kimberly Shaw, DNP, FNP-BC
• Jonathan Daniel Sherman, LMFT
• Brendan Lee Shevchik, PA-C
• Kara Shirey, MS, RDN, CD
• Matthew Barton Dean Shirley, MD

• Occupational Therapist in Park City, UT
• Providers in Park City, UT by specialty
• Occupational Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.