Shannon Floyd, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT0000006230 Issued in TN

Practice address

116 Lineberry Blvd
Mt Juliet, TN 37122-5517

Phone

(985) 898-2999

NPI assigned

Jan 17, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other names 1

• Shannon Boucher Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Floyd Pediatric Therapy and Intervention for Tic Disorders

  • Occupational Therapist
  • Mount Juliet, TN
  • NPI 1861081572

  Pediatrics

  NPD
• Pediatric Therapy and Learning Center of the Northshore

  • Pediatric Occupational Therapist
  • Covington, LA
  • NPI 1851687198

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1326758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1982975330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 S MOUNT JULIET RD # 563",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371226319",
            "telephone_number": "757-969-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 LINEBERRY BLVD",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371225517",
            "telephone_number": "985-898-2999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "218 Sterling Woods Dr",
            "address_purpose": "LOCATION",
            "city": "Mount Juliet",
            "state": "TN",
            "postal_code": "371224080",
            "country_code": "US",
            "telephone_number": "757-969-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLOYD",
        "first_name": "SHANNON",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-17",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IL",
            "license": "056009598",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "LA",
            "license": "OTT.200700",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TN",
            "license": "OT0000006230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "BOUCHER",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Flora MD PLLC
• Flora Method PLLC
• Alexis Flory
• James Flowers
• Floyd Pediatric Therapy and Intervention for Tic Disorders
• Margaret Colmore Flynn, MED., LPC-MHSP
• Kendall Folz
• Gillian Ford
• Nicholas William Foreman
• David A Foster, D.D.S.

• Pediatric Occupational Therapist in Mt Juliet, TN
• Providers in Mt Juliet, TN by specialty
• Pediatric Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.