Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JONATHAN PETER SHADE, OT

Active

MR. JONATHAN PETER SHADE, OT is a Occupational Therapist healthcare provider located in APOPKA, Florida. NPI 1740658202 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · APOPKA, FL

Registration Details

NPI Number: 1740658202
Provider Type: Individual
Gender: Male
NPI Issued: Sep 14, 2015 (10.920269930029 yrs)
Last Updated: Sep 14, 2015
License: OT1641 (FL)

Practice Information

Address: 1509 W ORANGE BLOSSOM TRL

APOPKA, FL, 327122640
Browse FL providers · Browse ZIP 32712
Phone: 4078140436
Fax: 4078140818
Primary Specialty: Occupational Therapist
225X00000X

Other Occupational Therapist Providers in APOPKA, FL

Name	Credential	NPI
MR. DAMON T. GIVENS SR.	OTR/L	1588642441
BEATRIZ AMELIA CADIZ	OTR	1053367821
MISS TAMMY ANN BOHUSLAW	OTR/L	1023123304
MRS. REBECCA MARIE FENNER	OTR/L	1629167333
MRS. VERONIQUE NADINE WALKER	OTR/L	1487822607
MS. YOLANDA I. COLON	OTR/L	1114179074

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.