SHANNON PETTERSSON (NPI# 1710463112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710463112 |
| Entity Type | Individual |
| Full Name | SHANNON PETTERSSON |
| Credential | OTR |
| Practice Address |
9330 Broadway St Ste 312 Pearland TX 77584-7895 |
| Mailing Address |
9220 Kirby Dr Ste 1000 Houston TX 77054-2534 |
| Practice Telephone | 7133839700 |
| Practice Fax Number | 7133839795 |
| Mailing Telephone | 7133839700 |
| Mailing Fax Number | 7133839795 |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2018-07-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 119267 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
9330 BROADWAY ST STE 312 |
| City | PEARLAND |
| State | TX |
| Zip Code | 77584-7895 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568548394 | Janelle Dickson | Occupational Therapist | 9330 Broadway St Ste 312, Pearland, TX 77584-7895 | 2006-10-27 |
| 1164064770 | Oluremi Olatoro Olagoke | Speech-Language Pathologist | 9330 Broadway St Ste 312, Pearland, TX 77584-7895 | 2019-10-15 |
| 1063971547 | Kelsey Marie Orsak | Occupational Therapist | 9330 Broadway St Ste 312, Pearland, TX 77584-7895 | 2019-03-14 |
| 1790256402 | John E Messer | Physical Therapy Assistant | 9330 Broadway St Ste 312, Pearland, TX 77584-7895 | 2018-12-07 |
| 1801394093 | April Bonton | Speech-Language Pathologist | 9330 Broadway St Ste 312, Pearland, TX 77584-7895 | 2018-01-23 |
| 1922557925 | Michelle Lynn Martinez | Specialist/Technologist | 9330 Broadway St Ste 312, Pearland, TX 77584-7895 | 2016-10-02 |
| 1639536774 | Ogechi Amara Waturuocha | Physical Therapist | 9330 Broadway St Ste 312, Pearland, TX 77584-7895 | 2016-01-20 |
| 1578951521 | Angela Marunowski | Speech-Language Pathologist | 9330 Broadway St Ste 312, Pearland, TX 77584-7895 | 2014-12-29 |
| 1285038554 | Tracie Petty | Physical Therapist | 9330 Broadway St Ste 312, Pearland, TX 77584-7895 | 2014-10-15 |
| 1558772988 | Lisa White | Speech-Language Pathologist | 9330 Broadway St Ste 312, Pearland, TX 77584-7895 | 2014-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181281 | Joyce Ann Fugit | Technician | 8024 Serenity Dr., Pearland, TX 77584 | 2020-10-16 |
| 1558916403 | Houston Mint Dentistry, Pllc | Dentist | 12568 Broadway St Ste 140, Pearland, TX 77584 | 2019-08-07 |
| 1982259198 | Pearland Unicare Pharmacy LLC | Pharmacy | 10970 Shadow Creek Parkway Suite 110.2, Pearland, TX 77584 | 2019-08-05 |
| 1972155869 | Parastoo Natasha Coselli | Dentist | 2811 Buisness Dr Unit 105, Pearland, TX 77584 | 2019-07-11 |
| 1679042030 | Dorothy B Smith-hubbard | Counselor | 919 Norfolk Dr., Pearland, TX 77584 | 2018-11-15 |
| 1720562499 | Kelly Jean Barba | Physical Therapy Assistant | 3406 Businesses Center Dr, Pearland, TX 77584 | 2018-09-19 |
| 1437631884 | Laura Gillet | Registered Nurse | 3306 Summerwood Lane, Pearland, TX 77584 | 2018-09-02 |
| 1881176204 | Sharry Magne Rivera Estrella | Registered Nurse | 11900 Shadow Creek Parkway Apt 1311, Pearland, TX 77584 | 2018-09-01 |
| 1962982264 | Shara Elizabeth Watts | Occupational Therapist | 12001 Shadow Creek Pwky, Pearland, TX 77584 | 2018-08-16 |
| 1457830861 | Melvin Thomas | Dentist | 3215 Souther Green Drive, Pearland, TX 77584 | 2018-08-08 |
| Find all providers in zip 77584 | ||||
| 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 |
|---|---|---|---|---|
| 1518567510 | Ashley Paige Montoya | Occupational Therapist | 8603 Broadway St Unit 170, Pearland, TX 77584-8171 | 2020-10-28 |
| 1023639838 | Kenneth Goldie Scott | Occupational Therapist | 2907 Broadway Bend Dr, Pearland, TX 77584-2236 | 2020-05-04 |
| 1326522954 | Caleb Johnson | Occupational Therapist | 13508 Misty Shadow Ln, Pearland, TX 77584-3705 | 2018-09-19 |
| 1962982264 | Shara Elizabeth Watts | Occupational Therapist | 12001 Shadow Creek Pwky, Pearland, TX 77584 | 2018-08-16 |
| 1770083263 | Kristi Leigh Miller | Occupational Therapist | 3609 Oak Bent Dr, Pearland, TX 77581-7255 | 2018-02-20 |
| 1588181457 | Emily Hamm | Occupational Therapist | 211 E. Broadway, Ste. 130, Pearland, TX 77581 | 2017-08-23 |
| 1043696487 | Laura Mitchell | Occupational Therapist | 1906 Lantana Spring Ln, Pearland, TX 77581-2549 | 2015-08-08 |
| 1811378797 | Praveen Philip | Occupational Therapist | 12501 Broadway St, Pearland, TX 77584-8999 | 2015-06-16 |
| 1871803692 | Charissa Ettinoffe | Occupational Therapist | 11405 Summit Bay Dr, Pearland, TX 77584-2558 | 2010-10-14 |
| 1821277245 | Jeanine Smith Brandau | Occupational Therapist | 3006 Chance Ct, Pearland, TX 77584-8719 | 2007-11-01 |
| Find all providers in PEARLAND | ||||
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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.