Individual provider

Shannon Evenson, OTR, L

Occupational Therapist Medicare enrolled

Shannon Evenson, OTR, L is an Occupational Therapist in Vadnais Heights, MN, registered under NPI 1770632507.

Getting there

The practice address on file is 3580 ARCADE ST, Vadnais Heights, MN 55127. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

3580 ARCADE ST, Vadnais Heights, MN 55127 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
4439-026 WI Occupational Therapist
106813 MN Occupational Therapist primary

Licences are recorded in 2 states: WI, MN. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Occupational Therapist In Private Practice
PAC ID
0143390500
Enrollment ID
I20220606000870

Medicare enrolment is recorded as approved under the provider type Practitioner - Occupational Therapist In Private Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Minnesota and Wisconsin. The practice address on file is in Vadnais Heights, MN, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

MN Minnesota practice address
Licence
106813
Specialty
Occupational Therapist
Verify with the MN board →
WI Wisconsin
Licence
4439-026
Specialty
Occupational Therapist
Verify with the WI board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Occupational Therapist covers

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. NUCC Health Care Provider Taxonomy, code 225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
225X00000X Occupational Therapist 4439-026 WI
225X00000X Occupational Therapist 106813 MN primary

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1770632507 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJan 10, 2007
Last updatedFeb 2, 2023
StatusActive
Sole proprietorNo
GenderFemale
CredentialOTR, L
Practice address 3580 ARCADE ST
Vadnais Heights, MN 55127
(651) 968-5201
Mailing address 710 COMMERCE DR STE 200
Woodbury, MN 55125
The last update on file is Feb 2, 2023. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1770632507 passes the NPI check digit test The final digit 7 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 7 7 0 6 3 2 5 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 7 5 0 3 3 4 5 0

Sum = 53 · next multiple of 10 = 60 · check digit = 7 · actual last digit = 7

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1770632507?
NPI 1770632507 is the National Provider Identifier assigned to Shannon Evenson, OTR, L in Vadnais Heights, MN. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Occupational Therapist cover?
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…
How do I contact Shannon Evenson, OTR, L?
The phone number on file with NPPES is (651) 968-5201, last updated Feb 2, 2023. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Shannon Evenson, OTR, L accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1770632507 a valid number?
Yes. 1770632507 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.