Jessica Ann Shonebarger, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT011163 Issued in OH

Practice address

380 Elm St FL 2
London, OH 43140-9220

Phone

(740) 852-5700

Fax

(740) 845-3282

NPI assigned

Oct 27, 2016

Sex

Female

Sole proprietor

No

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": "1477526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1841742749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 SCOTT FARMS BLVD",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430407009",
            "telephone_number": "734-489-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 ELM ST FL 2",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431409220",
            "telephone_number": "740-852-5700",
            "fax_number": "740-845-3282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHONEBARGER",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-27",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "OH",
            "license": "OT011163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin L Seymour-Hicks
• Justin Matthew Sharpe, APRN
• Richard Shellenberger II, PHD
• Izetta Shepherd
• Owen Shoemaker
• Stuart Sisk, HHA
• Jannifer Lynne Smearsoll, APRN-CNP
• Abby Smith, MSW/LSW
• Eric Lee Smith, D.C.
• Madeleine Smith, CNP

• Pediatric Occupational Therapist in London, OH
• Providers in London, OH by specialty
• Pediatric Occupational Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.

Verify at the official NPI Registry.