Kanna Shepherd, LOTR | |
4701 Montgomery Blvd Ne, Albuquerque, NM 87109-1219 | |
(505) 727-7800 | |
Not Available |
Full Name | Kanna Shepherd |
---|---|
Gender | Female |
Speciality | Occupational Therapy |
Experience | 11 Years |
Location | 4701 Montgomery Blvd Ne, Albuquerque, New Mexico |
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 |
---|---|---|---|
1376109181 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 200683 (Louisiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Functional Transformation Llc | 2860862067 | 3 |
Provider Name | James Ferrara Lymphedema Therapist Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1932707643 PECOS PAC ID: 9234559881 Enrollment ID: O20201020001690 |
Provider Name | Functional Transformation Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1013633031 PECOS PAC ID: 2860862067 Enrollment ID: O20230104002399 |
Mailing Address | Practice Location Address |
---|---|
Kanna Shepherd, LOTR Po Box 654, Lake Providence, LA 71254-0654 Ph: () - | Kanna Shepherd, LOTR 4701 Montgomery Blvd Ne, Albuquerque, NM 87109-1219 Ph: (505) 727-7800 |
Sarah Day, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2722 Santa Monica Ave Se, Albuquerque, NM 87106 Phone: 505-702-6452 | |
Leslie Price, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2929 Coors Blvd Nw Ste 100, Albuquerque, NM 87120 Phone: 505-836-4899 Fax: 505-836-4844 | |
Tyler Paul Mason, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3830 Commons Ave Ne, Albuquerque, NM 87109 Phone: 502-542-4123 | |
Rebecca S Starrett, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5100 Marna Lynn Ave Nw, Petroglyph Es, Albuquerque, NM 87114 Phone: 505-898-0923 | |
Action Works Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1104 Idlewilde Ln Se, Albuquerque, NM 87108 Phone: 505-266-5724 | |
Sidney T Alley, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 4th St Sw, Coronado Complex, Albuquerque, NM 87102 Phone: 505-247-1012 | |
Lisa A Westfall, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1700 Pennsylvania St Ne, Inez Es, Albuquerque, NM 87110 Phone: 505-299-9010 |