SHANNON O'BRIEN (NPI# 1619407459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619407459 |
| Entity Type | Individual |
| Full Name | SHANNON O'BRIEN |
| Credential | PT, DPT |
| Practice Address |
26081 Merit Cir Ste 107 Laguna Hills CA 92653-7017 |
| Practice Telephone | 9493670310 |
| Mailing Telephone | 9493670310 |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2017-06-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P0010X |
Physical Medicine & Rehabilitation Specialization: Pediatric Rehabilitation Medicine |
293048 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770727950 | Shannon O'brien | Occupational Therapist | 19750 S Vermont Ave, Suite 140, Torrance, CA 90502-1119 | 2009-05-01 |
| 1154567675 | Shannon Marie O'brien | Nurse Practitioner | 239 Hurffville Crosskeys Rd Ste 370, Sewell, NJ 08080 | 2009-01-06 |
| 1366529182 | Shannon G O'brien | Counselor | 2821 N. 4th Street, Suite 139, Milwaukee, WI 53212 | 2006-11-01 |
| 1184240822 | Shannon O'brien | Occupational Therapist | 1 Reservoir Office Park Ste 104, Southbury, CT 06488-3926 | 2020-06-18 |
| 1508487323 | Shannon O'brien | Speech-Language Pathologist | 95 Bradhurst Ave, Valhalla, NY 10595-1697 | 2020-05-04 |
| 1720634215 | Shannon O'brien | Physical Therapist | 1691 Bethlehem Pike, Hatfield, PA 19440-1302 | 2019-08-12 |
| 1528620358 | Shannon O'brien | Counselor | 585 Lincoln St, Worcester, MA 01605-1906 | 2019-07-02 |
| 1144793183 | Shannon O'brien | Behavioral Analyst | 236 Gannett Dr, South Portland, ME 04106-6913 | 2019-01-02 |
| 1952838476 | Shannon Joye O'brien | Chiropractor | 4390 Bells Ferry Rd Nw, Kennesaw, GA 30144-1354 | 2017-05-15 |
| 1154784130 | Shannon O'brien | Preventive Medicine | 13001 E 17th Pl Bldg 500, Aurora, CO 80045 | 2016-03-29 |
| Street Address |
26081 MERIT CIR STE 107 |
| City | LAGUNA HILLS |
| State | CA |
| Zip Code | 92653-7017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851602668 | Heather Beth Jetzer | Occupational Therapist | 26081 Merit Cir Ste 107, Laguna Hills, CA 92653-7017 | 2010-06-25 |
| 1891334488 | Anthony Bao An Tran | Occupational Therapist | 26081 Merit Cir Ste 107, Laguna Hills, CA 92653-7017 | 2019-12-30 |
| 1770013476 | Katie Elizabeth Buckley | Speech-Language Pathologist | 26081 Merit Cir Ste 107, Laguna Hills, CA 92653-7017 | 2017-06-14 |
| 1740527662 | Lisa Speier | Specialist | 26081 Merit Cir Ste 107, Laguna Hills, CA 92653-7017 | 2013-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708476 | Nikkie Veyseh | Behavior Technician | 26921 Falling Leaf Dr., Laguna Hills, CA 92653 | 2020-10-24 |
| 1609480425 | Steve Ceja | Behavior Technician | 25201 Paseo De Alicia Suite 110, Laguna Hills, CA 92653 | 2020-08-31 |
| 1467006882 | Kristina Alexa Puno Morales | Dietitian, Registered | 24552 Health Center Drive, Laguna Hills, CA 92653 | 2019-07-25 |
| 1164929626 | Shoreline Consulting Services, Inc. | Clinic/Center | 23010 Lake Forest Drive, Suite B, Laguna Hills, CA 92653 | 2018-04-11 |
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1831613850 | Stephani A Berg | Physical Medicine & Rehabilitation | 24422 Avenida De La Carlota Suite 190, Laguna Hills, CA 92653 | 2017-08-01 |
| 1497299945 | Stephanie Lyle | Nurse Practitioner | 24221 Calle De Louisa, Suite 400, Laguna Hills, CA 92653 | 2016-12-16 |
| 1053776278 | Meillanny Gladness | Counselor | 23151 Verdugo Dr Ste 203, Laguna Hills, CA 92653 | 2015-12-16 |
| 1912383183 | Pmdca, LLC | Clinical Medical Laboratory | 23297 S Pointe Dr Ste 100, Laguna Hills, CA 92653 | 2015-08-10 |
| 1821486630 | 4mpw, Inc. | Home Health | 23232 Peralta Drive 216, Laguan Hills, CA 92653 | 2014-12-31 |
| Find all providers in zip 92653 | ||||
| Taxonomy Code | 2081P0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pediatric Rehabilitation Medicine |
| A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate for PRM was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Early discussions underway |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366925117 | Christine Marie Draper | Physical Medicine & Rehabilitation | 1900 Garden Rd Ste 200-c, Monterey, CA 93940-5373 | 2018-09-07 |
| 1922272525 | Elaine L Pico, M.d. | Physical Medicine & Rehabilitation | 2825 International Blvd, Room Rc121, Oakland, CA 94601-1543 | 2008-04-15 |
| 1295910941 | University Childrens Medical Group | Physical Medicine & Rehabilitation | 4650 W Sunset Blvd # 5, Los Angeles, CA 90027-6062 | 2007-12-31 |
| 1528080462 | Elaine Louise Pico | Physical Medicine & Rehabilitation | 3031 Telegraph Ave Ste 241, Berkeley, CA 94705-2053 | 2006-07-23 |
| 1205390655 | Rachel Sara Christensen | Physical Medicine & Rehabilitation | 1195 W Fremont Ave, Sunnyvale, CA 94087-3832 | 2019-01-29 |
| 1891265989 | Doreen Spearman | Physical Medicine & Rehabilitation | 34590 County Line Rd Ste 7, Yucaipa, CA 92399-5398 | 2018-11-30 |
| 1316445885 | Amy Quach | Physical Medicine & Rehabilitation | 8933 Activity Rd, San Diego, CA 92126-4427 | 2018-01-30 |
| 1851844278 | Karen Charlotta Albiston | Physical Medicine & Rehabilitation | 3355 Mission Ave Ste 123, Oceanside, CA 92058-1327 | 2016-08-02 |
| 1033573126 | Faheem Mahomed | Physical Medicine & Rehabilitation | 4860 Y St Ste 3850, Sacramento, CA 95817-2307 | 2016-04-05 |
| 1326405895 | Valley Children's Medical Group - Physiatry | Physical Medicine & Rehabilitation | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2016-01-28 |
| Find all providers with the same taxonomy | ||||
| City | LAGUNA HILLS |
| Zip Code | 92653 |
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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.