Individual
SHANNON BECKISH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
851 COMMERCE BLVD, SUITE 107, DICKSON CITY, PA 18519-1677
(570) 489-5561
(570) 489-5563
Mailing address
851 COMMERCE BLVD, SUITE 107, DICKSON CITY, PA 18519-1677
(570) 489-5561
(570) 489-5563
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
OC009700
PA
225X00000X
Occupational Therapist
OC009700
PA
225XE1200X
Ergonomics Occupational Therapist
OC009700
PA
225XH1200X
Hand Occupational Therapist
OC009700
PA
225XH1300X
Human Factors Occupational Therapist
OC009700
PA
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
OC009700
PA
225XP0200X
Pediatric Occupational Therapist
OC009700
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012670440001
—
PA
01
—
166652
MEDPLUS
PA
01
—
3930947
AETNA HMO
PA
01
—
7007693
AETNA PPO
PA
01
—
819327
FIRST PRIORITY/BC/BS
PA
01
—
9386503
PHCS
PA
Enumeration date
12/02/2005
Last updated
09/11/2025
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