IndividualActive
Shannon Domfort
NPI 1376912063 · Pediatric Occupational Therapist · Palm Harbor, FL
Provider details
- NPI number
- 1376912063
- Entity type
- Individual
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- OT20621 (FL)
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
31840 US Highway 19 N
Palm Harbor, FL 34684-3713
Phone: (727) 202-9200
Street-level locationGet directions
Mailing address
31840 US Highway 19 N
Palm Harbor, FL 34684-3713
Additional practice locations (1)
- 2035 Sw 75th StGainesville, FL 32607-3425Phone: (352) 332-8588
Registry dates
- Enumerated
- 2015-09-23
- Last updated
- 2020-01-26
- Certified
- 2020-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.