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

Shannon Lee Todaro

Individual provider Occupational Therapist · NPI 1114401205

Shannon Lee Todaro is an Occupational Therapist in Private Practice in Raleigh, North Carolina. Qualified in 2018, 8 years ago. Practices with Legacy Healthcare Services Inc, a 3,624-clinician group and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
8
Licensed in
NC, SC
In the registry since
2018
Specialties on file
2

Practice location Address checks out

311 Garden At North Hills St
Raleigh, NC 27609-2662
Phone: (984) 238-1286
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 12028 (NC)
Occupational Therapist Taxonomy 225X00000X · Licence 5328 (SC)

Record details

NPI number1114401205
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 24, 2018
Last updated in NPPESJanuary 20, 2026
Certification dateJanuary 20, 2026

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Legacy Healthcare Services Inc — 3624 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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