Active NPI
Shannon O'Leary, MT-BC
- Music Therapist
- Rochester, NY
National Provider Identifier
1922478106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- License
- 12117
- Practice address
- 100 Groton Pkwy
Rochester, NY 14623-4540 - Phone
- (585) 359-3710
- NPI assigned
- Oct 1, 2015
- 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 |
|---|---|---|---|---|
| Music Therapist | 225A00000X | 12117 | NJ | Primary |
Addresses
Primary practice location
100 Groton Pkwy
Rochester, NY 14623-4540
Mailing address
3 Pleasant View Dr
North Chili, NY 14514-1018
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12117 | NJ | MD | Music Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443657600000",
"number": "1922478106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 PLEASANT VIEW DR",
"city": "NORTH CHILI",
"state": "NY",
"postal_code": "145141018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 GROTON PKWY",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146234540",
"telephone_number": "585-359-3710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'LEARY",
"first_name": "SHANNON",
"credential": "MT-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-01",
"last_updated": "2015-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": "NJ",
"license": "12117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.