Provider Demographics
NPI:1922334531
Name:SHOEMAKER, CARI ANN (COTA/L)
Entity Type:Individual
Prefix:MS
First Name:CARI
Middle Name:ANN
Last Name:SHOEMAKER
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:CARI
Other - Middle Name:ANN
Other - Last Name:BRENNAMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3128 STONEHURST CIR
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-7621
Mailing Address - Country:US
Mailing Address - Phone:386-299-3593
Mailing Address - Fax:
Practice Address - Street 1:3128 STONEHURST CIR
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-7621
Practice Address - Country:US
Practice Address - Phone:386-299-3593
Practice Address - Fax:386-317-5409
Is Sole Proprietor?:No
Enumeration Date:2009-11-02
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL10982224Z00000X
FL10982OTA224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant