Active NPIIndividual provider

Mrs. Shannon J Depodesta

Occupational Therapist in Southington, Connecticut

NPI Number1528451184
Practice location
45 Meriden Ave, Southington, CT 06489-3214
Fax
—
Last updated
March 6, 2015

Shannon Joyce Depodesta is an Occupational Therapist based in Southington, CT. Shannon Joyce Depodesta practices in Southington, CT. The NPI Number for Shannon Joyce Depodesta is 1528451184 and holds a License No. 001839 (CT). The current practice location address for Shannon Joyce Depodesta is 45 Meriden Ave, Southington, CT 06489-3214 and can be reached out via phone at 860-621-9559.

Provider Profile Details

NPI Number
1528451184
Provider Name
Shannon Joyce Depodesta
Provider Entity Type
Individual
Gender
Female
Address
45 Meriden Ave, Southington, CT 06489-3214
Phone Number
860-621-9559
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
No
Provider Enumeration Date
March 6, 2015
Last Update Date
March 6, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
45 Meriden Ave
Southington, CT 06489-3214
Zip
06489-3214
Phone Number
860-621-9559
Southington, CT 06489Get directions →

Provider Business Mailing Address Details

Address
131 Roseanna RD
Plantsville, CT 06479-1224
City
Plantsville
State
CT
Zip
06479-1224
Phone Number
860-628-7427

License Information

License Number
001839
License State
CT
Taxonomy
Occupational Therapist · 225X00000X · 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 Mrs. Shannon J Depodesta?

The NPI number of Mrs. Shannon J Depodesta is 1528451184. It was assigned on March 6, 2015 and is currently active in the NPPES registry.

What is the specialty of Mrs. Shannon J Depodesta?

Mrs. Shannon J Depodesta is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in CT under license number 001839.

Where does Mrs. Shannon J Depodesta practice?

The practice location is 45 Meriden Ave, Southington, CT 06489-3214. The office can be reached at 860-621-9559 (phone).

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 1528451184 directly on the NPPES registry website.

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