SHANNON WALTER


Address: 8542 W Grand River Ave, Brighton, MI 48116-2326
Phone: 7344494649

SHANNON WALTER (NPI# 1063551729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063551729
Entity Type Individual
Full Name SHANNON WALTER
Credential OTR
Practice Address 8542 W Grand River Ave
Brighton
MI 48116-2326
Mailing Address 1377 Motor Pkwy Ste 307
Islandia
NY 11749-5258
Practice Telephone 7344494649
Practice Fax Number 7344494669
Mailing Telephone 6315805200
Mailing Fax Number 6315805222
Enumeration Date 2007-02-06
Last Update Date 2020-07-31
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225XP0200X Occupational Therapist
Specialization: Pediatrics
5201007411 MI Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI STATE LICENSE 5201007411 01

Other Providers SHANNON WALTER

NPI Name Taxonomy Address Enumeration
1912046772 Shannon Walter Massage Therapist 3810 166th Pl Ne, Suite 201-a, Arlington, WA 98223-8402 2007-02-06

Office Location

Street Address 8542 W GRAND RIVER AVE
City BRIGHTON
State MI
Zip Code 48116-2326

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215005913 Leaps and Bounds Therapy Services L.L.C. Behavioral Analyst 8542 W Grand River Ave, Brighton, MI 48116-2326 2006-12-01
1982205951 Kaygan Renae Nast Behavior Technician 8542 W Grand River Ave, Brighton, MI 48116-2326 2020-11-05
1841801313 Karlee Kehres Behavior Technician 8542 W Grand River Ave, Brighton, MI 48116-2326 2020-08-10
1548870751 Shelby Hard Behavior Technician 8542 W Grand River Ave, Brighton, MI 48116-2326 2020-08-03
1598383853 Sydney Danielle Pellom Behavior Technician 8542 W Grand River Ave, Brighton, MI 48116-2326 2020-07-13
1669090924 Ashley Lauren Hextall Behavior Technician 8542 W Grand River Ave, Brighton, MI 48116-2326 2020-07-13
1356962823 Cecelia Jordan Reeves Behavior Technician 8542 W Grand River Ave, Brighton, MI 48116-2326 2020-05-06
1659992121 Logan Casler Behavior Technician 8542 W Grand River Ave, Brighton, MI 48116-2326 2020-05-06
1649806233 Holly Margaret Hermans Behavior Technician 8542 W Grand River Ave, Brighton, MI 48116-2326 2020-03-16
1679107106 Allison Jean Kucera Behavior Technician 8542 W Grand River Ave, Brighton, MI 48116-2326 2020-02-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134686470 Kristen Marie Ora Social Worker 8548 Grand River, Brighton, MI 48116 2019-02-22
1861981839 Root To Rise Pllc Social Worker 396 Woodlake Dr, Brighton, MI 48116 2018-05-06
1952852857 Valley Medical Pharmacy LLC Pharmacy 320 W Grand River Ave, Brighton, MI 48116 2016-10-17
1619360047 Reema S Beri Psychologist 10327 East Grand River Avenue, Suite 406, Brighton, MI 48116 2015-03-10
1669883872 Holly Babcock Pharmacist 8650 W Grand River, Brighton, MI 48116 2014-05-12
1861803991 Corrigan Counseling Plc Community/Behavioral Health 710 E. Grand River Ave, Suite 2, Brighton, MI 48116 2014-05-12
1760756274 Karen Joan Bergbower Social Worker 10299 Grand River, Suite P, Brighton, MI 48116 2012-03-01
1518298843 Adam N Rushford Chiropractor 10192 E Grand River, Suite 107, Brighton, MI 48116 2010-01-27
1548419617 Doreen Csokasy Psychologist 10315 E. Grand River, Brighton, MI 48116 2008-09-15
1336314350 Larry Patrick Dewulf Dentist 8609 W Grand River, #102-1, Brighton, MI 48116 2008-04-30
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Taxonomy Information

Taxonomy Code 225XP0200X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist
Specialization Pediatrics

Taxonomy Definition

Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities.
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: new] Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary board certification for a Pediatric Occupational Therapist if the applicant meets the following requirements:
  • Professional degree or equivalent in occupational therapy.
  • Certified or licensed by and in good standing with an AOTA recognized credentialing or regulatory body.
  • Minimum of 5 years of practice as an occupational therapist.
  • Minimum of 5,000 hours of experience as an occupational therapist in the certification area in the last 7 calendar years.
  • Minimum of 500 hours of experience delivering occupational therapy services in the certification area to clients (individuals, groups, or populations) in the last 5 calendar years. Service delivery may be paid or voluntary.
  • Verification of employment.
AOTA Specialized Knowledge and Skills Paper: Occupational Therapy Practice in the Neonatal Intensive Care Unity (2006); AOTA Fact Sheets: Children and the Tsunami, OT for Children Birth to 3 Years of Age, OT's Role with Autism, OT in Educational Settings Under the Individuals with Disabilities Education Act, Transforming Caseload to Workload in School Based and Early Intervention OT Services, OT in Preschool Settings.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144828369 Shane Michael Walsh Occupational Therapist 24 Tremont St, Brighton, MA 02135-2407 2020-10-09
1427434109 Jeffrey Lopes Occupational Therapist 1855 Rodande Dr, Brighton, MI 48114-9604 2015-08-05
1629233465 Alisa Jordan Occupational Therapist 30 Warren St, Occupational Therapy Department, Brighton, MA 02135-3602 2008-07-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1134747504 Madeline Rose Christensen Occupational Therapist 3991 Vendome Dr, Auburn Hills, MI 48326-1865 2020-07-11
1609429323 Willow Integrated Therapy, LLC Occupational Therapist 4121 Jackson Rd, Ann Arbor, MI 48103-1827 2019-07-22
1730745753 Danielle Marie Hackert Occupational Therapist 2125 43rd St Se # Aptk-12, Grand Rapids, MI 49508-3773 2019-05-15
1780143735 Olivia Hicks Occupational Therapist 2378 Woodlake Dr Ste 240, Okemos, MI 48864-6015 2019-03-19
1063986693 Lani Jakovac Occupational Therapist 13500 Pine St, Taylor, MI 48180-4613 2019-01-16
1144799669 Holly Cieslinski Occupational Therapist 3550 Fairlines Ave, Grandville, MI 49418 2018-11-14
1770074924 Francesca Wagner Occupational Therapist 42700 Garfield Rd Ste 110, Clinton Twp, MI 48038-4201 2018-05-23
1972026680 Stacey Lesnick Beyer Occupational Therapist 1810 Chartwell Dr., Traverse City, MI 49696 2017-07-25
1326585316 Bright Connections Occupational Therapy LLC Occupational Therapist 1243 Blue Heron Dr, Highland, MI 48357-3909 2017-01-27
1982150108 Ruth A White Occupational Therapist 14210 Dixie, Redford, MI 48239-2874 2016-08-28
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City BRIGHTON
Zip Code 48116

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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