MRS. SHANNON DAWN LONG (NPI# 1760603385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760603385 |
| Entity Type | Individual |
| Full Name | MRS. SHANNON DAWN LONG |
| Credential | COTA |
| Practice Address |
11080 E. Gypsy Lane Rd. Bowling Green OH 43402 |
| Mailing Address |
191 Losee St. Po Box 274 Cygnet OH 43413-0274 |
| Practice Telephone | 4193520259 |
| Mailing Telephone | 4196552970 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OTA.02940 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184176554 | Shannon Long | Counselor | 1293 Professional Drive, Suite D Office 222, Myrtle Beach, SC 29577 | 2016-11-01 |
| 1992299358 | Shannon Olivia Long | Physical Therapist | 10780 Santa Monica Blvd Ste 405, Los Angeles, CA 90025-7655 | 2018-06-19 |
| 1588111090 | Shannon Freshwater Long | Physician Assistant | 208 W Dl Ingram, Cannon Afb, NM 88103 | 2016-09-01 |
| 1306259916 | Shannon Rose Long | Family Medicine | 9228 Medical Plaza Dr, Charleston, SC 29406-9125 | 2014-06-11 |
| 1013286848 | Shannon E Long | Physical Therapist | 3927 Rucker Ave, Everett, WA 98201-4833 | 2011-12-23 |
| 1225265432 | Shannon Long | Speech-Language Pathologist | 7233 Whipple Ave Nw, North Canton, OH 44720-7137 | 2009-06-15 |
| Street Address |
11080 E. GYPSY LANE RD. |
| City | BOWLING GREEN |
| State | OH |
| Zip Code | 43402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316592017 | Danielle Urbaniak | Pharmacist | 722-740 South Main St, Bowling Green, OH 43402 | 2019-08-08 |
| 1013485648 | Julie Marie Knapp | Counselor | 219 South Church Street, Bowling Green, OH 43402 | 2018-11-13 |
| 1477065274 | Elizabeth Marie Leber | Social Worker | 1045 Klotz Rd., Bowling Green, OH 43402 | 2017-11-02 |
| 1558871913 | Genoa Healthcare, LLC | Pharmacy | 1010 N Prospect St Ste 56, Bowling Green, OH 43402 | 2017-10-11 |
| 1093224933 | Kevin Wagner | Contractor | 19644 Hull Prairie Rd, Bowling Green, OH 43402 | 2017-09-22 |
| 1487102273 | Mary Ann Bostdorff | Registered Nurse | 1011 North Prospect St., Bowling Green, OH 43402 | 2016-09-21 |
| 1174927354 | Kristy Siegle | Counselor | 1010 North Prospect, Bowling Green, OH 43402 | 2014-10-16 |
| 1366846560 | Timothy M Burkart | Pharmacist | 1840 E. Gypsy Lane Rd, (wood County Health Department), Bowling Green, OH 43402 | 2014-10-16 |
| 1144629411 | Ledeithra Denise Mckinney | Speech-Language Pathologist | 1921 East Gypsy Lane Rd., Bowling Green, OH 43402 | 2014-08-22 |
| 1558701607 | Mark Joseph Kleeberger | Physical Therapy Assistant | 1180 N Main St, Bowling Green, OH 43402 | 2013-07-02 |
| Find all providers in zip 43402 | ||||
| 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 |
|---|---|---|---|---|
| 1023627007 | Brianna Keen Wood | Occupational Therapy Assistant | 944 Fields Dr # 102, Bowling Green, KY 42104-5341 | 2020-07-27 |
| 1639626237 | Jessica Todd | Occupational Therapy Assistant | 944 Fields Dr St102, Bowling Green, KY 42104-5341 | 2016-09-01 |
| 1225344625 | Katrina M Bartanen | Occupational Therapy Assistant | 1329 Sun Way Apt 16, Bowling Green, KY 42104-5440 | 2010-08-23 |
| 1932721354 | Brittany Michelle Camp | Occupational Therapy Assistant | 1300 Campbell Ln, Bowling Green, KY 42104-4162 | 2020-05-07 |
| 1013563386 | Emily Gaddie | Occupational Therapy Assistant | 2365 Nashville Rd, Bowling Green, KY 42101-4144 | 2019-08-13 |
| 1801319314 | Casey Deanna Self | Occupational Therapy Assistant | 944 Fields Dr Ste 102, Bowling Green, KY 42104-5341 | 2017-07-18 |
| 1417485681 | Anita D Patton | Occupational Therapy Assistant | 2365 Nashville Rd, Bowling Green, KY 42101-4144 | 2017-05-31 |
| 1235667783 | Grace Marie Porter | Occupational Therapy Assistant | 1381 Campbell Ln, Bowling Green, KY 42104-1049 | 2017-05-29 |
| 1457739518 | Amber Franzell | Occupational Therapy Assistant | 2365 Nashville Rd, Bowling Green, KY 42101-4144 | 2015-05-11 |
| 1497143283 | Radasha Coleman | Occupational Therapy Assistant | 1381 Campbell Ln, Bowling Green, KY 42104-1049 | 2014-12-31 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 43402 |
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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.