Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shanine Theres Fogle

Individual provider Occupational Therapist · NPI 1265105175

Shanine Theres Fogle is an Occupational Therapist in Private Practice in Homosassa, Florida. Qualified in 2009, 17 years ago. Licensed in Florida.

Years since qualifying
17
Licensed in
FL
In the registry since
2021
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Practice location Address checks out

8477 S Suncoast Blvd
Homosassa, FL 34446-5028
Phone: (352) 382-7214
Fax: (352) 382-7781
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT13740 (FL)

Record details

NPI number1265105175
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 27, 2021
Last updated in NPPESJuly 27, 2021
Certification dateJuly 27, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Homosassa