Amanda Jean Gordon, OTRL,CLT-UE,CKTP

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201006820 Issued in MI

Practice address

45816 Schoenherr Rd Ste B
Shelby Township, MI 48315-6028

Phone

(586) 900-2100

Fax

(586) 900-2101

NPI assigned

Feb 23, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Michigan Orthopaedic Surgeons PLLCGroup PAC ID 7810277811, 127 clinicians

Fox Rehabilitation Services Mi LLCGroup PAC ID 2769819960, 84 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fox Rehabilitation Services Mi LLC

  • Physical Therapist
  • Canton, MI
  • NPI 1790324648

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Michigan Orthopaedic Surgeons, PLLC

  • Orthopaedic Surgery Physician
  • Southfield, MI
  • NPI 1306394309
  Medicare reassignment Care Compare group NPD
• Team Rehabilitation Services, LLC

  • Physical Therapist
  • Bloomfield Hills, MI
  • NPI 1548932619

  Occupational Therapist

  Medicare reassignment NPD
• Team Rehabilitation Services, LLC

  • Physical Therapist
  • Marietta, GA
  • NPI 1508538158
  NPD

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1528569704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33900 HARPER AVE STE 104",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480354258",
            "telephone_number": "586-350-2644",
            "fax_number": "586-541-3735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45816 SCHOENHERR RD STE B",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483156028",
            "telephone_number": "586-900-2100",
            "fax_number": "586-900-2101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33875 Kiely Dr",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "MI",
            "postal_code": "480473604",
            "country_code": "US",
            "telephone_number": "586-725-6030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDON",
        "first_name": "AMANDA",
        "middle_name": "JEAN",
        "credential": "OTRL,CLT-UE,CKTP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-23",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201006820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Scott Goldstein, MD
• Millard R Golusin, MD
• Sally Anne Gonzalez, LPC
• Krismen Gooden
• Brian Lawrence Goodwin, DPM
• Jodie Elizabeth Gordon, O.D.
• Nisa Goshtasbi, DDS
• Rachel Lyn Gosselin, LMSW
• Vanessa Ryan Gosselin
• Carlton Gould

• Occupational Therapist in Shelby Township, MI
• Providers in Shelby Township, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; 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.