Individual provider Active NPI

Breanne Shampaine

  • Occupational Therapist
  • Taylor, MI
National Provider Identifier
1073014346
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
9870 Telegraph Rd Ste B
Taylor, MI 48180-3334
Phone
(313) 295-5020
NPI assigned
Feb 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X MI Primary

Addresses

Primary practice location

9870 Telegraph Rd Ste B
Taylor, MI 48180-3334

Mailing address

14720 Richmond St
Southgate, MI 48195-3706

Other names 1

  • Breanne Hudzik Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250730000940 MI Practitioner - Occupational Therapist in Private Practice 2062929458 Reassigns benefits to 2 organizations
I20260311002289 OH Practitioner - Occupational Therapist in Private Practice 2062929458

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Movement Physical and Occupational Therapy LLCGroup PAC ID 8325451164, 8 clinicians

Practice addresses (Care Compare)

14700 King Rd
Suite B
Riverview, MI 48193-7909
Phone (734) 288-0235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
JH Therapy Services Occupational Therapist CurrentSince Jan 1, 2026 Accepting new patients
JH Therapy Services Occupational Therapist CurrentSince Feb 15, 2026 Accepting new patients
Movement Physical and Occupational Therapy LLC Occupational Therapist CurrentSince May 15, 2025 Accepting new patients
Oakwood Healthcare Inc Past Accepting new patients
Functional Living Solutions Occupational Therapy, LLC Occupational Therapist Past Accepting new patients

Locations

3132 Newport Rd
Newport, MI 48166
Phone (734) 586-9120

14700 King Rd
Ste B
Riverview, MI 48193
Phone (734) 288-0235

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1073014346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14720 RICHMOND ST",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481953706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9870 TELEGRAPH RD STE B",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481803334",
            "telephone_number": "313-295-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMPAINE",
        "first_name": "BREANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-22",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BREANNE",
            "last_name": "HUDZIK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Taylor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.