SHANNON DOMFORT
NPI 1376912063
Occupational Therapist - Pediatrics in Saint Petersburg, FL

Active since September 23, 2015
4200 4TH ST N STE B, SAINT PETERSBURG, FL 33703(727) 592-5417 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shannon Domfort NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON DOMFORT (NPI 1376912063) is an individual pediatrics provider in Saint Petersburg, Florida, licensed in Florida (OT20621) and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1376912063
Entity TypeIndividualFemale
Primary Taxonomy225XP0200X
Provider Legal NameSHANNON DOMFORT
Location Address4200 4TH ST N STE BSaint Petersburg, FL 33703-4735
Mailing Address4200 4th St N Ste BSaint Petersburg, FL 33703-4735 · (727) 592-5417
Sole ProprietorYes
Enumeration DateSeptember 23, 2015
Last NPPES UpdateJune 22, 2026
NPPES CertifiedJune 22, 2026
NPI 1376912063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225XP0200X
License Licensed in FL · OT20621
Definition

Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or occupations. Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities.

4200 4TH ST N STE B, Saint Petersburg, FL 33703

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
4200 4TH ST N STE B
ST PETERSBURG, FL 33703

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Domfort's NPI number?

The NPI number for Shannon Domfort is 1376912063. It was assigned to this individual provider in the NPPES registry on September 23, 2015.

Where is Shannon Domfort located?

Shannon Domfort practices at 4200 4th St N Ste B, Saint Petersburg, FL 33703. The listed phone number is (727) 592-5417.

What is Shannon Domfort's specialty?

The primary specialty registered for this NPI is Occupational Therapist, specializing in Pediatrics, with taxonomy code 225XP0200X.

When was this NPI record last updated?

The NPPES record for Shannon Domfort was last updated on June 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.