| Shannon Brandriff, MOT, OTR/L | |
|
3203 E Moores Pike, Bloomington, IN 47401-7122 | |
| (812) 370-4888 | |
| Not Available |
| Full Name | Shannon Brandriff |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 3203 E Moores Pike, Bloomington, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649846288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 31006768A (Indiana) | Primary |
| Provider Name | Elite Therapy Corp |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1235693300 PECOS PAC ID: 8224370242 Enrollment ID: O20190423001980 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Brandriff, MOT, OTR/L 3203 E Moores Pike, Bloomington, IN 47401-7122 Ph: () - | Shannon Brandriff, MOT, OTR/L 3203 E Moores Pike, Bloomington, IN 47401-7122 Ph: (812) 370-4888 |
Christie Leigh Pace, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2770 S Adams St, Bloomington, IN 47403 Phone: 866-465-5993 | |
Ms. Laurie Susan Allen, OTR CHT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 583 S Clarizz Blvd, Bloomington, IN 47401 Phone: 812-333-2663 Fax: 812-349-9206 | |
Lois Irisa Butcher, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1100 S Curry Pike, Bloomington, IN 47403 Phone: 812-675-4948 | |
Cecilia Wanchic, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8955 W Rice Rd, Bloomington, IN 47403 Phone: 812-325-9248 | |
Carrie Pepper, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 328 S Woodscrest Dr, Bloomington, IN 47401 Phone: 812-353-5534 | |
Kevin Joseph Kathman, ORT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 583 S Clarizz Blvd, Bloomington, IN 47401 Phone: 812-333-5915 Fax: 812-333-5919 | |
Katie Edwards, MS, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2605 E Creeks Edge Dr, Bloomington, IN 47401 Phone: 812-353-3343 Fax: 812-353-3346 |