MEDICARE: MRS. SHANNON RAE MOYNAHAN OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	5850	CA

General Provider Information

NPI Number	:	1346483088
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHANNON RAE MOYNAHAN OTR/L

Provider Business Mailing Address
First Line	:	28801 LOMA CHIQUITA RD
Second Line	:
City	:	LOS GATOS
State	:	CA
Zip	:	95033-8070
Country	:	US
Telephone Number	:	408-839-2906
Fax Number	:

Provider Business Practice Location Address
First Line	:	28801 LOMA CHIQUITA RD
Second Line	:
City	:	LOS GATOS
State	:	CA
Zip	:	95033-8070
Country	:	US
Telephone Number	:	408-839-2906
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2009
Last Update Date	:	04/10/2009

Similar Medicare Providers

1326046921 — DR. MICHAEL BRODIN M.D.
Practice Location Address:

16400 SODA SPRINGS RD
LOS GATOS, CA
95033-8621

Practice Phone: 914-625-8600
Practice Fax: 888-254-5368

1124058805 — DR. KAVITHA HUBBARD M.D.
Practice Location Address:

18055 IDALYN DR
LOS GATOS, CA
95033-8924

Practice Phone: 310-502-0851
Practice Fax:

1497822035 — LISA D'ANN FREEDMAN LMFT
Practice Location Address:

23000 SANTA CRUZ HWY
LOS GATOS, CA
95033-9021

Practice Phone: 408-482-9140
Practice Fax:

1386773166 — DR. BRENT CARL LAY DDS
Practice Location Address:

24900 HIGHLAND WAY
LOS GATOS, CA
95033-8002

Practice Phone: 408-353-1191
Practice Fax: 408-353-6501

1962525352 — MS. YELENA MARIE KOLODJI RN, CNM
Practice Location Address:

20941 NEZ PERCE TRL
LOS GATOS, CA
95033-8882

Practice Phone: 408-353-1118
Practice Fax: 408-353-1119

1245422260 — DR. SHARON PALEY M.D.
Practice Location Address:

22458 SUMMIT RD
LOS GATOS, CA
95033-9301

Practice Phone: 408-920-2191
Practice Fax: 408-490-2790

Directions to “ MRS. SHANNON RAE MOYNAHAN OTR/L” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.