SHANNON ALEXANDRA STANLEY (NPI# 1326530098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326530098 |
| Entity Type | Individual |
| Full Name | SHANNON ALEXANDRA STANLEY |
| Credential | MHSOT, OTR/L |
| Practice Address |
341 Winn Way Decatur GA 30030-2120 |
| Mailing Address |
54 Walthall St Ne Atlanta GA 30307-2623 |
| Practice Telephone | 4043414282 |
| Mailing Telephone | 9122935869 |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2018-05-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT006272 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417508987 | Shannon Stanley | Peer Specialist | 546 W Tuscarawas Ave, Barberton, OH 44203-2520 | 2019-09-25 |
| 1922458835 | Shannon Nicole Stanley | Nurse Practitioner | 2450 N Orange Blossom Trl, Kissimmee, FL 34744-2316 | 2016-06-21 |
| 1508193798 | Shannon B Stanley | Nurse Practitioner | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2009-11-09 |
| Street Address |
341 WINN WAY |
| City | DECATUR |
| State | GA |
| Zip Code | 30030-2120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164962437 | Kristen Julian | Occupational Therapist | 341 Winn Way, Decatur, GA 30030-2120 | 2017-03-06 |
| 1457967697 | Tayler Hawthorne | Occupational Therapist | 341 Winn Way, Decatur, GA 30030-2120 | 2020-09-22 |
| 1487269353 | Kevin Bernard Tolbert | Physical Therapist | 341 Winn Way, Decatur, GA 30030-2120 | 2020-09-09 |
| 1124658984 | Jessica Anna Cash | Occupational Therapist | 341 Winn Way, Decatur, GA 30030-2120 | 2020-01-21 |
| 1457992976 | Anne Leila Cadeau | Physical Therapy Assistant | 341 Winn Way, Decatur, GA 30030-2120 | 2019-10-06 |
| 1649786252 | Zipphrah F Jackson | Occupational Therapy Assistant | 341 Winn Way, Decatur, GA 30030-2120 | 2017-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
| 1417587478 | Elizabeth Heffron | Acupuncturist | 619b East College Avenue, Decatur, GA 30030 | 2020-01-17 |
| 1669016143 | Atlanta Upper Cervical Chiropractic LLC | Chiropractor | 125 E Trinity Place, Suite #247, Decatur, GA 30030 | 2019-10-29 |
| 1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
| 1699238733 | Dinah Augustin | Registered Nurse | 1458 Church St., Unit B, Decatur, GA 30030 | 2019-04-06 |
| 1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
| 1912476466 | Positive Impact Health Centers, Inc. | Pharmacy | 523 Church Street, Suite B, Decatur, GA 30030 | 2018-11-14 |
| 1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
| 1992292858 | Keeanna M Powell | Counselor | Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 | 2018-04-17 |
| 1780185488 | Solutions Ae Inc | Counselor | One West Square Court, Suite 710, Decatur, GA 30030 | 2018-02-27 |
| Find all providers in zip 30030 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396381554 | Justin Nelson | Occupational Therapist | 1415 W Mound Rd, Decatur, IL 62526-1263 | 2019-11-22 |
| 1689132342 | Arvin Quicho | Occupational Therapist | 3911 E Camelot Cir Apt 102, Decatur, IL 62526-6917 | 2019-03-12 |
| 1700381159 | Aegis Group Practice LLC | Occupational Therapist | 218 E Trinity Pl Ste A, Decatur, GA 30030-3410 | 2018-03-28 |
| 1356841332 | Rebecca Marie Davis | Occupational Therapist | 251 Johnston St Se Ste 200, Decatur, AL 35601-2515 | 2018-02-16 |
| 1366961765 | Maria O'farrell | Occupational Therapist | 495 Winn Way Ste 210, Decatur, GA 30030-1710 | 2017-09-18 |
| 1164962437 | Kristen Julian | Occupational Therapist | 341 Winn Way, Decatur, GA 30030-2120 | 2017-03-06 |
| 1396292025 | Africa Mincey | Occupational Therapist | 711 Twin Oaks Dr, Apartment 3, Decatur, GA 30030-4001 | 2016-09-11 |
| 1184096000 | Sarah Ingrid Stromsdorfer | Occupational Therapist | 460 Medlock Rd, Decatur, GA 30030-1508 | 2015-10-30 |
| 1730556655 | Johnaca Templeton | Occupational Therapist | 3088 Centerpoint Rd, Decatur, TN 37322-4631 | 2015-08-26 |
| 1528441185 | Jonathan Bullen | Occupational Therapist | 425 Winn Way, Decatur, GA 30030-1732 | 2015-07-01 |
| Find all providers in DECATUR | ||||
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| 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.