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1356325377

NPI Code Detail

MEDICARE: SHANNON BECKISH OT

MEDICARE: SHANNON BECKISH OT

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	225400000X	Rehabilitation Practitioner	OC009700	PA
2	225X00000X	Occupational Therapist	OC009700	PA
3	225XE1200X	Ergonomics Occupational Therapist	OC009700	PA
4	225XH1200X	Hand Occupational Therapist	OC009700	PA
5	225XH1300X	Human Factors Occupational Therapist	OC009700	PA
6	225XN1300X	Neurorehabilitation Occupational Therapist	OC009700	PA
7	225XP0200X	Pediatric Occupational Therapist	OC009700	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	166652	OTHER	PA	MEDPLUS
2	3930947	OTHER	PA	AETNA HMO
3	7007693	OTHER	PA	AETNA PPO
4	819327	OTHER	PA	FIRST PRIORITY/BC/BS
5	9386503	OTHER	PA	PHCS
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356325377
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANNON BECKISH OT

Provider Business Mailing Address
First Line	:	851 COMMERCE BLVD
Second Line	:	SUITE 107
City	:	DICKSON CITY
State	:	PA
Zip	:	18519-1677
Country	:	US
Telephone Number	:	570-489-5561
Fax Number	:	570-489-5563

Provider Business Practice Location Address
First Line	:	851 COMMERCE BLVD
Second Line	:	SUITE 107
City	:	DICKSON CITY
State	:	PA
Zip	:	18519-1677
Country	:	US
Telephone Number	:	570-489-5561
Fax Number	:	570-489-5563

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

Provider Enumeration Date	:	12/02/2005
Last Update Date	:	09/11/2025

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Directions to “ SHANNON BECKISH OT” Practice Location

Language	Start Address	Practice Location

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