| Shannon Grantham, OTR | |
|
5901 W 107th St, Overland Park, KS 66207-3882 | |
| (816) 830-8921 | |
| Not Available |
| Full Name | Shannon Grantham |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 5901 W 107th St, Overland Park, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073145769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 17-03222 (Kansas) | Primary |
| 225X00000X | Occupational Therapist | 2016022559 (Missouri) | Secondary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1407487366 PECOS PAC ID: 2163339722 Enrollment ID: O20200327001604 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Grantham, OTR 3550 Rainbow Blvd Apt 224, Kansas City, KS 66103-2091 Ph: () - | Shannon Grantham, OTR 5901 W 107th St, Overland Park, KS 66207-3882 Ph: (816) 830-8921 |
Mrs. Marcella Jane Hillman, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6700 Antioch Rd, Overland Park, KS 66204 Phone: 913-652-9225 | |
Rebecca Ann Nelson, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10500 Quivira Rd, Overland Park, KS 66215 Phone: 913-541-5000 | |
Ms. Dawn Prehn, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 7819 Conser Pl, Overland Park, KS 66204 Phone: 913-789-9900 | |
Elhonei K Alemu, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12300 Metcalf Ave, Overland Park, KS 66213 Phone: 919-317-7000 | |
Ms. Susan E Heimke, OTR/L, CHT, CLT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 6405 Metcalf Avenue, Suite 220, Overland Park, KS 66202 Phone: 913-831-2721 Fax: 913-384-0127 | |
Ms. Diane Sue Grier, MED Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9620 Metcalf, Suite M, Overland Park, KS 66204 Phone: 913-383-9014 Fax: 913-383-9015 | |
Caitlin Torres, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 14204 Woodward St, Overland Park, KS 66223 Phone: 973-722-2000 |