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

Individual provider Occupational Therapist · NPI 1659612414

Shannon Payne, OTR is an Occupational Therapist in Deer Park, New York. Practices as a sole proprietor. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

124 Fillmore Ave
Deer Park, NY 11729-7004
Phone: (631) 889-5362
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1659612414
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorYes
NPI enumeratedMarch 4, 2013
Last updated in NPPESMarch 4, 2013

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