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

Shannon Lyle Peterson, OTA

Individual provider Occupational Therapy Assistant · NPI 1588212161

Shannon Lyle Peterson, OTA is an Occupational Therapy Assistant in Hendersonville, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2019

Practice location Address checks out

1870 Pisgah Dr
Hendersonville, NC 28791-3759
Phone: (828) 693-9796
Fax: (828) 693-1321
Show map & directions

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

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 8145 (NC)

Record details

NPI number1588212161
Entity typeIndividual (Type 1)
GenderMale
Credentials OTA
Sole proprietorYes
NPI enumeratedAugust 28, 2019
Last updated in NPPESAugust 28, 2019

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