Shannon Reid-Graves, MOTR/L
Occupational Therapist in Meridian, ID. Individual provider (NPI-1).
NPI number1295084465
StatusActive
Last updated in NPPESDec 12, 2025
Details
- NPI
- 1295084465
- Entity type
- Individual (NPI-1)
- Name
- Shannon Reid-Graves
- Credential
- MOTR/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 4, 2012
- Certification date
- Dec 12, 2025
- Last updated
- Dec 12, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | OT-626 | ID | Yes |
Other names
- Shannon Reid (Former Name)
Practice location
1550 N. Crestmont Dr., Ste. EMeridian, ID 83642-2177
Phone 208-898-0988 · Fax 208-898-9022
Mailing address
1550 N. Crestmont Dr., Ste. EMeridian, ID 83642-2177
Phone 208-898-0988 · Fax 208-898-9022
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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