Individual provider Active NPI

Shawnna Lynn Augustson, OTD, OTR/L

  • Occupational Therapist
  • New Albany, OH
National Provider Identifier
1942077599
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT012118 Issued in OH
Practice address
6690 Liberation Way
New Albany, OH 43054-2532
Phone
(614) 289-5100
NPI assigned
Dec 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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 OT012118 OH Primary

Addresses

Primary practice location

6690 Liberation Way
New Albany, OH 43054-2532

Mailing address

8501 Loon LN
Canal Winchester, OH 43110-9793
Phone (740) 281-8171

Other practice location 1

402 Liberty Way
Gahanna, OH 43230-3502
Phone (614) 831-2600

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

LicenseStateTypeSpecialty
OT012118OHMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1942077599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 LOON LN",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431109793",
            "telephone_number": "740-281-8171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6690 LIBERATION WAY",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430542532",
            "telephone_number": "614-289-5100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "402 Liberty Way",
            "address_purpose": "LOCATION",
            "city": "Gahanna",
            "state": "OH",
            "postal_code": "432303502",
            "country_code": "US",
            "telephone_number": "614-831-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AUGUSTSON",
        "first_name": "SHAWNNA",
        "middle_name": "LYNN",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-05",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT012118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.