Shannon Bray, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

359062 Issued in OR

Practice address

84 Centennial Loop
Eugene, OR 97401-7909

Phone

(541) 255-2681

NPI assigned

Aug 4, 2016

Sex

Female

Sole proprietor

No

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.

• Connect the Dots Pediatric Therapy, Inc

  • Pediatric Occupational Therapist
  • Eugene, OR
  • NPI 1285074633
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 4, 2016.

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470268800000",
    "number": "1982158127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8233 STATION VILLAGE LN",
            "address_2": "UNIT 2207",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921086583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 CENTENNIAL LOOP",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017909",
            "telephone_number": "541-255-2681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAY",
        "first_name": "SHANNON",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-04",
        "last_updated": "2016-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "359062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordyn Michaela Braun
• Ruth Ellen Braun, PH.D.
• Simona S Braun, MD
• Kristi D Bray-Dragt, LPN
• Eva Christine Bray-Kipp
• Chelsea Brazelton
• Matthew Aaron Brazer, RPH
• Joseph K Brazill, DPT
• Joni Marie Breaux, LPTA
• Kathryne Anne Brecht

• All providers in Eugene, OR
• Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.