Shannon Alexandra Stanley, MHSOT, OTR/L | |
341 Winn Way, Decatur, GA 30030-2120 | |
(404) 341-4282 | |
Not Available |
Full Name | Shannon Alexandra Stanley |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 341 Winn Way, Decatur, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326530098 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT006272 (Georgia) | Primary |
Provider Name | Legacy Healthcare Services Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1528419751 PECOS PAC ID: 2163339722 Enrollment ID: O20160830000411 |
Provider Name | Legacy Healthcare Services Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1831619337 PECOS PAC ID: 2163339722 Enrollment ID: O20220916001457 |
Mailing Address | Practice Location Address |
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Shannon Alexandra Stanley, MHSOT, OTR/L 54 Walthall St Ne, Atlanta, GA 30307-2623 Ph: (912) 293-5869 | Shannon Alexandra Stanley, MHSOT, OTR/L 341 Winn Way, Decatur, GA 30030-2120 Ph: (404) 341-4282 |
Taylor M Rapaport, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1270 Mcconnell Dr Ste B, Decatur, GA 30033 Phone: 770-892-6878 | |
Sarah Kate Phillips Orton, MSOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 404-501-5852 | |
Allyson Leseten, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1244 Clairmont Rd, Suite 224, Decatur, GA 30030 Phone: 404-728-9766 | |
Wenda Goodman, MOT,OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd, Decatur, GA 30033 Phone: 404-321-6111 | |
Theresa Dondzila, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1510 Oak Grove Rd, Ste. 2, Decatur, GA 30033 Phone: 404-236-9788 | |
Melanie Johnson, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 575 Dekalb Industrial Way Ste 103, Decatur, GA 30030 Phone: 404-296-8511 | |
Jasmine Erves, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2385 Lawrenceville Hwy Ste B, Decatur, GA 30033 Phone: 404-289-4270 Fax: 404-289-4428 |