Shannon Rebecca Gaetke, OTD, OTR/L - Occupational Therapist in Goose Creek, SC

Shannon Rebecca Gaetke, OTD, OTR/L is a Occupational Therapist - Pediatrics based in Goose Creek, South Carolina. Shannon Rebecca Gaetke is licensed to practice in South Carolina (license number 4091) and her current practice location is 120 Springhall Dr, Goose Creek, South Carolina. She can be reached at her office (for appointments etc.) via phone at (843) 216-0290.

NPI number for Shannon Rebecca Gaetke is 1629311618 and her current mailing address is Po Box 1753, Mount Pleasant, South Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629311618.

Contact Information

Shannon Rebecca Gaetke, OTD, OTR/L
120 Springhall Dr,
Goose Creek, SC 29445-5335
(843) 216-0290
(843) 216-2445



Healthcare Provider's Profile

Full NameShannon Rebecca Gaetke
GenderFemale
SpecialityOccupational Therapist - Pediatrics
Location120 Springhall Dr, Goose Creek, South Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1629311618
  • Provider Enumeration Date: 03/28/2013
  • Last Update Date: 03/28/2013

Medical Identifiers

Medical identifiers for Shannon Rebecca Gaetke such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629311618NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225XP0200XOccupational Therapist - Pediatrics 4091 (South Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannon Rebecca Gaetke is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shannon Rebecca Gaetke, OTD, OTR/L
Po Box 1753,
Mount Pleasant, SC 29465-1753

Ph: (843) 216-0290
Shannon Rebecca Gaetke, OTD, OTR/L
120 Springhall Dr,
Goose Creek, SC 29445-5335

Ph: (843) 216-0290

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› Verified 4 days ago


Occupational Therapist in Goose Creek, SC

Building Blocks Therapy, Llc
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 102 Ashton Dr, Goose Creek, SC 29445
Phone: 843-708-0859    Fax: 843-821-6579
Buffie Bell, OTR
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 120c Springhall Dr, Goose Creek, SC 29445
Phone: 843-216-0290    Fax: 843-216-2445
Jessica Ashmore Mcclintock,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 120c Springhall Dr, Goose Creek, SC 29445
Phone: 843-216-0290    Fax: 843-216-2445
Mrs. Schayla Danyell Axson, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 7 S Alliance Dr, Suite 102a, Goose Creek, SC 29445
Phone: 843-569-2303    
Mrs. Andrea Lynn Kennedy, MS, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 120 Springhall Dr, Goose Creek, SC 29445
Phone: 843-216-0290    
Cristina Reyes Smith, OT
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 120c Springhall Dr, Goose Creek, SC 29445
Phone: 843-216-0290    Fax: 843-216-2445
Mrs. Lynn Merrill, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 104 Spring Hall Dr, Goose Creek, SC 29445
Phone: 843-553-1805    Fax: 843-553-6246

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