Individual provider Active NPI

Shanon Thein, OT

  • Occupational Therapist
  • Naples, FL
National Provider Identifier
1992931794
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT15965
Practice address
8016 Princeton Dr
Naples, FL 34104-6666
Phone
(530) 927-7022
NPI assigned
Jun 8, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 004925 GA
Occupational Therapist 225X00000X OT15965 Primary

Addresses

Primary practice location

8016 Princeton Dr
Naples, FL 34104-6666

Mailing address

8016 Princeton Dr
Naples, FL 34104-6666
Phone (530) 927-7022

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
004925GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Core Health O T PLLC Occupational Therapist CurrentSince Apr 14, 2024 Accepting new patients
Bayonne Physical Therapy Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: shanonthein@corehealthpartners.kareodirect.com

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": "1244419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1992931794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8016 PRINCETON DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341046666",
            "telephone_number": "530-927-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8016 PRINCETON DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341046666",
            "telephone_number": "530-927-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEIN",
        "first_name": "SHANON",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-08",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "004925",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": "OT15965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; 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.