SHANNON FORMAN
NPI 1407424823
Occupational Therapist in Phoenix, AZ

Active since June 13, 2021
7654 N 19TH AVE, PHOENIX, AZ 85021(602) 771-5400 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shannon Forman NPPES

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

SHANNON FORMAN (NPI 1407424823) is an individual occupational therapist in Phoenix, Arizona, licensed in Arizona (OTH-009316) and active in the NPI registry since June 2021. She maintains a secondary practice location in Casa Grande.

NPPES Registry Identity

NPI1407424823
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameSHANNON FORMAN
Location Address7654 N 19TH AVEPhoenix, AZ 85021-7025
Mailing Address1469 E Douglas StCasa Grande, AZ 85122-1745 · (516) 398-7478
Sole ProprietorYes
Enumeration DateJune 13, 2021
Last NPPES UpdateOctober 16, 2024
NPPES CertifiedSeptember 16, 2024
NPI 1407424823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in AZ · OTH-009316
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
7654 N 19TH AVE, Phoenix, AZ 85021

Secondary Practice Location 1

Location 11469 E Douglas StCasa Grande, AZ 85122-1745 · Phone (516) 398-7478

Other Providers at the Same Location NPPES 14

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

Occupational Therapist
7654 N 19TH AVE
PHOENIX, AZ 85021
Physical Therapist
7654 N 19TH AVE
PHOENIX, AZ 85021
Counselor (School)
7654 N 19TH AVE
PHOENIX, AZ 85021
Speech-Language Pathologist
7654 N 19TH AVE
PHOENIX, AZ 85021
Registered Nurse (Home Health)
7654 N 19TH AVE
PHOENIX, AZ 85021
Speech-Language Pathologist
7654 N 19TH AVE
PHOENIX, AZ 85021
Speech-Language Pathologist
7654 N 19TH AVE
PHOENIX, AZ 85021
Occupational Therapist
7654 N 19TH AVE
PHOENIX, AZ 85021

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 Forman's NPI number?

The NPI number for Shannon Forman is 1407424823. It was assigned to this individual provider in the NPPES registry on June 13, 2021.

Where is Shannon Forman located?

Shannon Forman practices at 7654 N 19th Ave, Phoenix, AZ 85021. The listed phone number is (602) 771-5400.

What is Shannon Forman's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

When was this NPI record last updated?

The NPPES record for Shannon Forman was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.