Shannon H Goodman, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0119009349 Issued in VA

Practice address

733 Volvo Pkwy Ste 300
Chesapeake, VA 23320-1610

Phone

(757) 321-3300

NPI assigned

Feb 9, 2022

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

Other names 1

• Shannon L Hagerty Former name

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

Enrollment records 2

Specialty

Occupational Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vann-Virginia Center for Orthopaedics PCGroup PAC ID 9133115397, 65 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.32 of 100Reported as group

Quality

87.23

Promoting interoperability

100

Improvement activities

40

Cost

87.16

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Vann-Virginia Center for Orthopaedics PC

  • Orthopaedic Surgery Physician
  • Norfolk, VA
  • NPI 1639125271

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Allied Health Solutions LLC

  • Physical Therapist
  • Falls Church, VA
  • NPI 1720453517

  DC, Occupational Therapist

  Medicare reassignment NPD
• Vann-Virginia Center for Orthopaedics PC

  • Orthopaedic Surgery Physician
  • Kill Devil Hills, NC
  • NPI 1669169983
  NPD
• Vann-Virginia Center for Orthopaedics PC

  • Orthopaedic Surgery Physician
  • Virginia Beach, VA
  • NPI 1184666877
  NPD (past)

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1891449765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 CLEARFIELD AVE STE 124",
            "city": "VA BEACH",
            "state": "VA",
            "postal_code": "234621832",
            "telephone_number": "757-321-3300",
            "fax_number": "757-321-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 VOLVO PKWY STE 300",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233201610",
            "telephone_number": "757-321-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2841 Hartland Rd Ste 403",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220433500",
            "country_code": "US",
            "telephone_number": "703-646-2250",
            "fax_number": "703-991-5649",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "46090 Lake Center Plz Ste 303",
            "address_purpose": "LOCATION",
            "city": "Sterling",
            "state": "VA",
            "postal_code": "201655879",
            "country_code": "US",
            "telephone_number": "571-771-3130",
            "fax_number": "703-991-5649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "SHANNON",
        "middle_name": "H",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-09",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119009349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "HAGERTY",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Lori Nicole Goodman, BCABA
• Melissa Suzanne Goodman, LCSW
• Wendy Goodman
• Holly Marie Goodreau, DMD
• Elisha Goodrich
• Karen Goodrich, AGPCNP-BC
• Sarah B Goodson, AUD

• Occupational Therapist in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.