MR. SHANE MICHAEL DISHEAUX COTA
NPI 1508063645
Occupational Therapy Assistant in Fort Wayne, IN

Active since July 02, 2007
2827 NORTHGATE BLVD, FORT WAYNE, IN 46835(260) 492-1498(260) 492-1674 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Shane Michael Disheaux Cota NPPES

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

MR. SHANE MICHAEL DISHEAUX COTA (NPI 1508063645) is an individual occupational therapy assistant in Fort Wayne, Indiana, licensed in Indiana (32001345A) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1508063645
Entity TypeIndividualMale
Primary Taxonomy224Z00000X
Provider Legal NameMR. SHANE MICHAEL DISHEAUXCredential: COTA
Location Address2827 NORTHGATE BLVDFort Wayne, IN 46835-2903
Mailing Address5305 Woodway DrFort Wayne, IN 46835-3676 · (260) 492-2027 · Fax (260) 492-1674
Fax(260) 492-1674
Sole ProprietorNo
Enumeration DateJuly 2, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1508063645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224Z00000X
License Licensed in IN · 32001345A
Definition

An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist 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 therapy assistants 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.

2827 NORTHGATE BLVD, Fort Wayne, IN 46835

Other Identifiers 1

Medicaid1555-656IN

Other Providers at the Same Location NPPES 20

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

Occupational Therapist
2827 NORTHGATE BLVD
FORT WAYNE, IN 46835
Occupational Therapist
2827 NORTHGATE BLVD
FORT WAYNE, IN 46835
Physical Therapy Assistant
2827 NORTHGATE BLVD
FORT WAYNE, IN 46835
Speech-Language Pathologist
2827 NORTHGATE BLVD
FORT WAYNE, IN 46835
Speech-Language Pathologist
2827 NORTHGATE BLVD
FORT WAYNE, IN 46835
Speech-Language Pathologist
2827 NORTHGATE BLVD
FORT WAYNE, IN 46835
Physical Therapist
2827 NORTHGATE BLVD
FORT WAYNE, IN 46835
Assisted Living Facility
2827 NORTHGATE BLVD
FORT WAYNE, IN 46835

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 Shane Disheaux's NPI number?

The NPI number for Shane Disheaux is 1508063645. It was assigned to this individual provider in the NPPES registry on July 2, 2007.

Where is Shane Disheaux located?

Shane Disheaux practices at 2827 Northgate Blvd, Fort Wayne, IN 46835. The listed phone number is (260) 492-1498.

What is Shane Disheaux's specialty?

The primary specialty registered for this NPI is Occupational Therapy Assistant with taxonomy code 224Z00000X.

When was this NPI record last updated?

The NPPES record for Shane Disheaux was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.