Shannon Bailey, OTD – Occupational Therapist

Key facts

NPI: 1861036717
Entity type: Individual (NPI type 1)
Primary specialty: Occupational Therapist 225X00000X
License: 5610 (SC)
Practice address: 1900 Sunset Blvd
West Columbia, SC 29169-5959
Phone: (803) 250-6833
NPI assigned: Nov 4, 2019
Sex: Female
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Key Changes Therapy Services, Inc Speech-Language Pathologist · West Columbia, SC · NPI 1669719530

NPD OCCUPATIONAL THERAPIST

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
5610	SC	MD	Social Worker

Practice roles

Organization	Specialty	Status	New patients
Key Changes Therapy Services, Inc	Occupational Therapist	Current since Nov 10, 2019	Accepting new patients

Locations

1900 Sunset Blvd
West Columbia, SC 29169
Phone (803) 250-6833

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Occupational Therapist	225X00000X	5610	SC	Yes

Addresses

Primary practice location

1900 Sunset Blvd
West Columbia, SC 29169-5959

Mailing address

1900 Sunset Blvd
West Columbia, SC 29169-5959
Phone (803) 250-6833

Other providers in West Columbia, SC

All providers in West Columbia, SC · Occupational Therapist in South Carolina

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2019. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.