Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Shannon Wilson, OTR/L

Individual provider Pediatric Occupational Therapist · NPI 1891243325

Mrs. Shannon Wilson, OTR/L is a Pediatric Occupational Therapist in Great Neck, New York. Licensed in New York. Registered with an NPI since 2016.

Licensed in
NY
In the registry since
2016
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

45 N Station Plz
Great Neck, NY 11021-5033
Phone: (516) 482-2650
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 009992 (NY)

Record details

NPI number1891243325
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedSeptember 13, 2016
Last updated in NPPESSeptember 13, 2016

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