Individual provider Active NPI

Rachel Shon, OTR/L

  • Occupational Therapist
  • Beavercreek, OH
National Provider Identifier
1962863803
Registry record updated Mar 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
007236 Issued in OH
Practice address
4381 Tonawanda TRL
Beavercreek, OH 45430-1961
Phone
(937) 426-5033
NPI assigned
Mar 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2016

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 007236 OH Primary

Addresses

Primary practice location

4381 Tonawanda TRL
Beavercreek, OH 45430-1961

Mailing address

4381 Tonawanda TRL
Beavercreek, OH 45430-1961
Phone (937) 426-5033

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
007236OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
J&W Surgical Services LLC CurrentSince Feb 1, 2025 Accepting new patients
Advanced Breast & Cosmetic Surgery Inc CurrentSince Feb 1, 2025 Accepting new patients

Locations

2361 Lakeview Dr
Beavercreek, OH 45431
Phone (937) 704-2130

580 Lincoln Park Blvd
Ste 255
Kettering, OH 45429
Phone (937) 266-4668

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458259200000",
    "number": "1962863803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4381 TONAWANDA TRL",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454301961",
            "telephone_number": "937-426-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4381 TONAWANDA TRL",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454301961",
            "telephone_number": "937-426-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHON",
        "first_name": "RACHEL",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-18",
        "last_updated": "2016-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "007236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; 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.