| Mrs Shannon Smith, | |
|
6100 W Friendly Ave, Greensboro, NC 27410-4160 | |
| (336) 292-9952 | |
| Not Available |
| Full Name | Mrs Shannon Smith |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist In Private Practice |
| Experience | 18 Years |
| Location | 6100 W Friendly Ave, Greensboro, North Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932614138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 7062 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Healthcare Services Inc | 2163339722 | 3474 |
| Fox Rehab Ot Nc Llc | 2961853379 | 23 |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1104823400 PECOS PAC ID: 2163339722 Enrollment ID: O20170118000750 |
| Provider Name | Fox Rehab Ot Nc Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1053199117 PECOS PAC ID: 2961853379 Enrollment ID: O20240110002959 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Shannon Smith, 6912 Harvest Glen Dr, Greensboro, NC 27406-8047 Ph: () - | Mrs Shannon Smith, 6100 W Friendly Ave, Greensboro, NC 27410-4160 Ph: (336) 292-9952 |
Jenna F Braswell, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 925 New Garden Rd, Greensboro, NC 27410 Phone: 336-292-8187 | |
Olivia Lickwar, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3907a W Market St, Greensboro, NC 27407 Phone: 336-279-9008 Fax: 336-740-9099 | |
Joshua Caleb Clapper, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 3200 Northline Ave Ste 160, Greensboro, NC 27408 Phone: 336-545-5000 Fax: 336-545-5020 | |
Mrs. Barri Ann Maxwell, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5 Dundas Cir Ste B, Greensboro, NC 27407 Phone: 336-294-3338 Fax: 336-294-6696 | |
Mrs. Nancy Elizabeth Johnson, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2300 Spring Garden St, Greensboro, NC 27403 Phone: 336-294-3338 Fax: 336-294-6696 | |
Leila Early, OT/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 801 Meadowood St, Apartment 232, Greensboro, NC 27409 Phone: 336-285-5068 | |
Janice Miller Leopold, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1130 N Church St, Ste 201, Greensboro, NC 27401 Phone: 336-375-4263 Fax: 336-275-2286 |