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

Shannon M Boddy, OTR/L

Individual provider Gerontology Occupational Therapist · NPI 1669947982

Shannon M Boddy, OTR/L is a Gerontology Occupational Therapist in Carmichael, California. Licensed in California and Ohio. Registered with an NPI since 2018.

Licensed in
CA, OH
In the registry since
2018
Specialties on file
2
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

2540 Carmichael Way
Carmichael, CA 95608-5314
Phone: (916) 482-0465
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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 19286 (CA)
Gerontology Occupational Therapist Taxonomy 225XG0600X · Licence 12826 (OH)

Record details

NPI number1669947982
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedOctober 13, 2018
Last updated in NPPESJuly 3, 2024
Certification dateJune 26, 2024

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