Shannon Sevor, is a
Occupational Therapist based in San Jose, California. Shannon Sevor is licensed to practice in * (Not Available) (license number ) and his current practice location is
350 N 2nd St Apt 131, San Jose, California. He can be reached at his office (for appointments etc.) via phone at
(408) 740-5565.
NPI number for Shannon Sevor is 1497472476 and his current mailing address is 1720 Jasper Highlands Dr, Morgan Hill, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1497472476.
Healthcare Provider's Profile
| Full Name | Shannon Sevor |
|---|
| Gender | Male |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 350 N 2nd St Apt 131, San Jose, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1497472476
- Provider Enumeration Date: 10/20/2022
- Last Update Date: 10/20/2022
Medical Identifiers
Medical identifiers for Shannon Sevor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497472476 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
| 133N00000X | Nutritionist | (* (Not Available)) | Secondary |
| 171400000X | Health & Wellness Coach | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 2251S0007X | Physical Therapist - Sports | (* (Not Available)) | Secondary |
| 225700000X | Massage Therapist | (* (Not Available)) | Secondary |
| 225800000X | Recreation Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannon Sevor is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Shannon Sevor,
1720 Jasper Highlands Dr,
Morgan Hill, CA 95037-9164
Ph: () - | Shannon Sevor,
350 N 2nd St Apt 131,
San Jose, CA 95112-4096
Ph: (408) 740-5565 |
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