Active NPI
Shannon Bridget Dowd, OTR/L
- Pediatric Occupational Therapist
- Auburn, MA
National Provider Identifier
1902658982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OTL15006
- Practice address
- 489 Washington St Ste 200
Auburn, MA 01501-5709 - Phone
- (508) 721-0000
- Fax
- (508) 721-0100
- NPI assigned
- Apr 3, 2024
- Last updated
- Nov 11, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OTL15006 | MA | Primary |
Addresses
Primary practice location
489 Washington St Ste 200
Auburn, MA 01501-5709
Mailing address
489 Washington St Ste 200
Auburn, MA 01501-5709
Phone (508) 721-0000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
489 Washington St
Suite 200
Auburn, MA 01501-5709
Phone 5087210000521
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTL15006 | MA | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Innovations, Inc | Pediatrics | Current | Accepting new patients |
| Francis P. Defalco, PC | Past | Accepting new patients |
Locations
489 Washington St
Ste 200
Auburn, MA 01501
Phone 5087210000199
Organizations & group practices 2
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": "1712102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731283200000",
"number": "1902658982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "489 WASHINGTON ST STE 200",
"city": "AUBURN",
"state": "MA",
"postal_code": "015015709",
"telephone_number": "508-721-0000",
"fax_number": "508-721-0100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "489 WASHINGTON ST STE 200",
"city": "AUBURN",
"state": "MA",
"postal_code": "015015709",
"telephone_number": "508-721-0000",
"fax_number": "508-721-0100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOWD",
"first_name": "SHANNON",
"middle_name": "BRIDGET",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-03",
"last_updated": "2024-11-11",
"certification_date": "2024-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "MA",
"license": "OTL15006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.