SHANNON LANE COTA/L NPI 1093089179

NPI Information

  • NPI: 1093089179
  • Provider Name: SHANNON LANE, COTA/L
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 410 10TH AVE W
    PALMETTO, FL
    ZIP 34221
  • Phone: (941) 722-3582

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NPI Details

Shannon Lane, COTA/L is a specialist in Palmetto, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Shannon Lane, COTA/L NPI is 1093089179. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

410 10TH AVE W
PALMETTO, FL
ZIP 34221-032
Phone: (941) 722-3582
Fax: (941) 729-8322

The enumeration date for this NPI number is 3/7/2012 and was last updated on 8/7/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1224Z00000XOccupational Therapy AssistantOTA11297FLORIDANo
2174400000XSpecialist2054TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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