Individual provider Active NPI

Shannon McQuade

  • Occupational Therapist
  • Saint Johns, FL
National Provider Identifier
1881561710
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT26615 Issued in FL
Practice address
2430 County Road 210 W Ste B
Saint Johns, FL 32259-2451
Phone
(904) 717-7782
NPI assigned
Oct 23, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT26615 FL Primary

Addresses

Primary practice location

2430 County Road 210 W Ste B
Saint Johns, FL 32259-2451

Mailing address

2430 County Road 210 W Ste B
Saint Johns, FL 32259-2451
Phone (904) 717-7782

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251106005245 FL Practitioner - Occupational Therapist in Private Practice 9335639368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10605 S Jog Rd
Boynton Beach, FL 33437-3234
Phone (904) 717-7782

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT26615FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
RWW Senior Living Outpatient Rehab Services, LLC CurrentSince Nov 17, 2025 Accepting new patients
RWW Senior Living Outpatient Rehab Services, LLC CurrentSince Nov 17, 2025 Accepting new patients
Rehab in Motion, LLC Occupational Therapist Past Accepting new patients

Locations

10605 S Jog Rd
Boynton Beach, FL 33437
Phone (561) 413-6807

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1761177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1881561710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 COUNTY ROAD 210 W STE B",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322592451",
            "telephone_number": "904-717-7782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 COUNTY ROAD 210 W STE B",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322592451",
            "telephone_number": "904-717-7782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUADE",
        "first_name": "SHANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-23",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT26615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Johns, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.