SHANNA NICOLE GWYN (NPI# 1710465547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710465547 |
| Entity Type | Individual |
| Full Name | SHANNA NICOLE GWYN |
| Credential | COTA/L |
| Practice Address |
260 Village Lake Rd Siler City NC 27344-1820 |
| Mailing Address |
113a Old Spring Rd Chapel Hill NC 27516-8140 |
| Practice Telephone | 9197424052 |
| Mailing Telephone | 9196224286 |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2018-08-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 11866 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | NORTH CAROLINA BOARD OF OCCUPATIONAL THERAPY | 11866 | 01 |
| NATIONAL BOARD OF OCCUPATIONAL THERAPY | 403214 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 72 Chatham Business Dr, Pittsboro, NC 273125687 | 9195426677 |
| Street Address |
260 VILLAGE LAKE RD |
| City | SILER CITY |
| State | NC |
| Zip Code | 27344-1820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366590614 | Coventry House of Siler City | Assisted Living Facility | 260 Village Lake Rd, Siler City, NC 27344-1820 | 2007-01-05 |
| 1053952010 | Siler City Opco, LLC | Non-emergency Medical Transport (VAN) | 260 Village Lake Rd, Siler City, NC 27344-1820 | 2019-10-01 |
| 1831665561 | Camilya Dixon | Physical Therapy Assistant | 260 Village Lake Rd, Siler City, NC 27344-1820 | 2018-10-20 |
| 1851870117 | Kaitlyn Marks | Occupational Therapy Assistant | 260 Village Lake Rd, Siler City, NC 27344-1820 | 2018-08-08 |
| 1164946323 | Amanda Nicole Maccreery | Physical Therapist | 260 Village Lake Rd, Siler City, NC 27344-1820 | 2017-07-31 |
| 1861920910 | Caroline Elizabeth Irick | Occupational Therapist | 260 Village Lake Rd, Siler City, NC 27344-1820 | 2017-06-01 |
| 1114454295 | Gina Elizabeth Botzis | Speech-Language Pathologist | 260 Village Lake Rd, Siler City, NC 27344-1820 | 2017-05-19 |
| 1790225191 | Elizabeth Nutt | Occupational Therapy Assistant | 260 Village Lake Rd, Siler City, NC 27344-1820 | 2017-03-03 |
| 1568917219 | Angela D Bell | Occupational Therapist | 260 Village Lake Rd, Siler City, NC 27344-1820 | 2016-08-23 |
| 1780076646 | Elizabeth W. Sherouse | Occupational Therapy Assistant | 260 Village Lake Rd, Siler City, NC 27344-1820 | 2015-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881187292 | Jessica Jones Curtis | Social Worker | Auldern Academy, 990 Glovers Grove Church Rd., Siler City, NC 27344 | 2018-06-11 |
| 1629263165 | Dr John R Dykers Jr | General Practice | 401a N Ivey Ave, Siler City, NC 27344 | 2007-09-07 |
| 1295955268 | Donna Whitt | Family Medicine | 163 Medical Park Drive, Suite 210, Siler City, NC 27344 | 2007-05-01 |
| 1952526667 | Nancy Tanguay | Nurse Practitioner | 1002 W Third Street, Siler City, NC 27344 | 2007-04-16 |
| 1205983681 | Edward Lenoir Lowdermilk | Pharmacist | 224 South 10th Avenue, Siler City, NC 27344 | 2007-01-05 |
| 1518041755 | Daniel Paul Skulavik | Physical Therapist | 112 Walmart Supercenter, Siler City, NC 27344 | 2006-10-24 |
| 1346322476 | Wal-mart Stores East, Lp | Technician/Technologist | 14215 U.S. Hwy 64 West, Siler City, NC 27344 | 2006-10-19 |
| 1952492811 | Marcia L Rementer Dmd Pa II | Dentist | 100 Village Lake Road, Siler City, NC 27344 | 2006-09-27 |
| 1447357744 | Chatham Trades, Inc. | Day Training, Developmentally Disabled Services | 909 Alston Bridge Rd, Siler City, NC 27344 | 2006-09-20 |
| 1326082207 | William Don Roscoe Jr. | Optometrist | 14215 Us Hwy 64 West, Siler City, NC 27344 | 2006-06-15 |
| Find all providers in zip 27344 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist 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 therapy assistants 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, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891028049 | Annette Kuntz | Occupational Therapy Assistant | 4435 Pleasant Hill Church Rd, Siler City, NC 27344-6879 | 2009-09-04 |
| 1851870117 | Kaitlyn Marks | Occupational Therapy Assistant | 260 Village Lake Rd, Siler City, NC 27344-1820 | 2018-08-08 |
| 1790225191 | Elizabeth Nutt | Occupational Therapy Assistant | 260 Village Lake Rd, Siler City, NC 27344-1820 | 2017-03-03 |
| 1780076646 | Elizabeth W. Sherouse | Occupational Therapy Assistant | 260 Village Lake Rd, Siler City, NC 27344-1820 | 2015-03-02 |
| 1295139657 | Jennifer Mcgovern | Occupational Therapy Assistant | 900 W Dolphin St, Siler City, NC 27344-3711 | 2014-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056244 | 5 Stone Therapy, LLC | Occupational Therapy Assistant | 2036 Quill Court, Kannapolis, NC 28083 | 2020-09-08 |
| 1326652611 | Chelsea Stone | Occupational Therapy Assistant | 2036 Quill Ct, Kannapolis, NC 28083-6298 | 2020-09-03 |
| 1427672252 | Meagan L Hankins | Occupational Therapy Assistant | 440 Ingram Road, King, NC 27021 | 2020-06-08 |
| 1386266583 | Corie Roberson | Occupational Therapy Assistant | 955 Spring Forest Rd Apt 2, Greenville, NC 27834-4976 | 2020-05-11 |
| 1265052328 | Vipavee Bartorillo | Occupational Therapy Assistant | 5309 Patuxent Dr, Raleigh, NC 27616-6568 | 2020-04-19 |
| 1144856709 | Laura Johnson | Occupational Therapy Assistant | 424 Mcarthur Rd., Fayetteville, NC 28311 | 2020-03-16 |
| 1912539768 | Crystal Mikhail Yvonnie Harris | Occupational Therapy Assistant | 851 S Beckford Dr Ste Beckford, Henderson, NC 27536-5910 | 2020-02-10 |
| 1073143343 | Eastern Therapy Solutions, Pllc | Occupational Therapy Assistant | 3132 Chesswood Ln, Winterville, NC 28590-7992 | 2020-01-24 |
| 1710517578 | Leslie H Hutcherson | Occupational Therapy Assistant | 2560 Willard Rd # 5740, Winston Salem, NC 27107-5543 | 2020-01-21 |
| 1841820826 | Hannah Broome Abbott | Occupational Therapy Assistant | 2092 Ayrsley Town Blvd Unit A, Charlotte, NC 28273-4038 | 2020-01-18 |
| Find all providers with the same taxonomy | ||||
| City | SILER CITY |
| Zip Code | 27344 |
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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.