Active NPIIndividual provider

Shannon Carlos, COTA

Occupational Therapy Assistant in Groton, Connecticut

NPI Number1942881735
Practice location
1145 Poquonnock RD, Groton, CT 06340-4698
Fax
—
Last updated
April 14, 2021

Shannon Carlos is an Occupational Therapy Assistant based in Groton, CT. Shannon Carlos practices in Groton, CT and has the professional credentials of COTA. The NPI Number for Shannon Carlos is 1942881735 and holds a License No. 1710 (CT). The current practice location address for Shannon Carlos is 1145 Poquonnock RD, Groton, CT 06340-4698 and can be reached out via phone at 860-446-9960.

Provider Profile Details

NPI Number
1942881735
Provider Name
Shannon Carlos
Credential
COTA
Provider Entity Type
Individual
Gender
Female
Address
1145 Poquonnock RD, Groton, CT 06340-4698
Phone Number
860-446-9960
Primary Taxonomy
Occupational Therapy Assistant · 224Z00000X
Sole Proprietor
No
Provider Enumeration Date
April 14, 2021
Last Update Date
April 14, 2021
Certification Date
April 14, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1145 Poquonnock RD
Groton, CT 06340-4698
City
Groton
Zip
06340-4698
Phone Number
860-446-9960
Groton, CT 06340Get directions →

Provider Business Mailing Address Details

Address
62 Thames Height Ln
Groton, CT 06340-2856
City
Groton
State
CT
Zip
06340-2856
Phone Number
860-237-0836

License Information

License Number
1710
License State
CT
Taxonomy
Occupational Therapy Assistant · 224Z00000X · Primary

Legacy Identifiers

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

Other Occupational Therapy Assistants near Groton, CT

View all Occupational Therapy Assistants in Groton →

Frequently Asked Questions

What is the NPI number of Shannon Carlos, COTA?

The NPI number of Shannon Carlos, COTA is 1942881735. It was assigned on April 14, 2021 and is currently active in the NPPES registry.

What is the specialty of Shannon Carlos, COTA?

Shannon Carlos, COTA is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in CT under license number 1710.

Where does Shannon Carlos, COTA practice?

The practice location is 1145 Poquonnock RD, Groton, CT 06340-4698. The office can be reached at 860-446-9960 (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 1942881735 directly on the NPPES registry website.

Browse related providers