Individual provider · Type 1 NPI

Shane M. Liston, MOT

Occupational Therapist · Naperville, IL

NPI number 1215422837 Active

Practice location

2272 95th St Ste 300
Naperville, IL 60564-8952

Fax (630) 428-1542

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X056012548 (IL)

Occupational Therapist: 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…

4 other providers at this address

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About NPI 1215422837

Shane M. Liston, MOT's National Provider Identifier is 1215422837, issued on Jun 26, 2018. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Naperville, IL. The record was last updated on Feb 8, 2021.