IndividualActive
Shannon Randall, OTR/L
NPI 1013393917 · Occupational Therapist · Gainesville, GA
Provider details
- NPI number
- 1013393917
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- License
- OT006090 (GA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2030 Windward Ln
Gainesville, GA 30501-7418
Phone: (770) 535-8181
Approximate (ZIP-level) locationGet directions
Mailing address
125 Townpark Dr Nw Ste 300
Kennesaw, GA 30144-5812
Additional practice locations (1)
- 125 Townpark Dr Nw Ste 300Kennesaw, GA 30144-5812Phone: (855) 423-6287Fax: (678) 669-1562
Registry dates
- Enumerated
- 2015-08-03
- Last updated
- 2018-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.