Individual provider Active NPI

Mia Sanchez Shanahan, OTR/L

  • Occupational Therapist
  • Needham, MA
National Provider Identifier
1902595457
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
15933 Issued in CA
Practice address
200 Highland Ave Ste 202
Needham, MA 02494-3035
Phone
(857) 302-5715
NPI assigned
May 2, 2023
Last updated
May 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 15933 CA Primary
Occupational Therapist 225X00000X 14488 MA

Addresses

Primary practice location

200 Highland Ave Ste 202
Needham, MA 02494-3035

Mailing address

200 Highland Ave Ste 202
Needham, MA 02494-3035
Phone (857) 302-5715

Other names 1

  • Mia Sarah Sanchez Former name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14488MAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Xrhealth USA Inc CurrentSince Jul 16, 2023 Accepting new patients

Locations

1330 Beacon St
Ste 209
Brookline, MA 02446
Phone (857) 706-4907

200 Highland Ave
Ste 202
Needham Heights, MA 02494
Phone (850) 687-6000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1902595457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HIGHLAND AVE STE 202",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024943035",
            "telephone_number": "857-302-5715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HIGHLAND AVE STE 202",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024943035",
            "telephone_number": "857-302-5715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANAHAN",
        "first_name": "MIA",
        "middle_name": "SANCHEZ",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-02",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "15933",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "14488",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIA",
            "last_name": "SANCHEZ",
            "middle_name": "SARAH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Needham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.