Active NPIIndividual providerSole proprietor

Shannon M Granger

Occupational Therapist, Pediatrics in Acton, Massachusetts

NPI Number1487491858
Practice location
222 Main St, Acton, MA 01720-3658
Fax
978-287-7879
Last updated
July 11, 2024

Shannon Marie Granger is an Occupational Therapist, Pediatrics based in Acton, MA. Shannon Marie Granger practices in Acton, MA. The NPI Number for Shannon Marie Granger is 1487491858 and holds a License No. 6278 (MA). The current practice location address for Shannon Marie Granger is 222 Main St, Acton, MA 01720-3658 and can be reached out via phone at 978-287-7878 and via fax at 978-287-7879.

Provider Profile Details

NPI Number
1487491858
Provider Name
Shannon Marie Granger
Provider Entity Type
Individual
Gender
Female
Address
222 Main St, Acton, MA 01720-3658
Phone Number
978-287-7878
Fax Number
978-287-7879
Primary Taxonomy
Occupational Therapist, Pediatrics · 225XP0200X
Sole Proprietor
Yes
Provider Enumeration Date
July 11, 2024
Last Update Date
July 11, 2024
Certification Date
July 11, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
222 Main St
Acton, MA 01720-3658
City
Acton
Zip
01720-3658
Phone Number
978-287-7878
Fax Number
978-287-7879
Acton, MA 01720Get directions →

Provider Business Mailing Address Details

Address
25 Hapgood RD
Worcester, MA 01605-3802
City
Worcester
State
MA
Zip
01605-3802
Phone Number
508-868-3754

License Information

License Number
6278
License State
MA
Taxonomy
Occupational Therapist, Pediatrics · 225XP0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shannon M Granger?

The NPI number of Shannon M Granger is 1487491858. It was assigned on July 11, 2024 and is currently active in the NPPES registry.

What is the specialty of Shannon M Granger?

Shannon M Granger is registered under the primary taxonomy Occupational Therapist, Pediatrics (code 225XP0200X), licensed in MA under license number 6278.

Where does Shannon M Granger practice?

The practice location is 222 Main St, Acton, MA 01720-3658. The office can be reached at 978-287-7878 (phone) or 978-287-7879 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1487491858 directly on the NPPES registry website.

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