Individual provider Active NPI

Bethany Clare Schult, MS,OTR/L

  • Occupational Therapist
  • Lansing, MI
National Provider Identifier
1629549795
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201007517 Issued in MI
Practice address
812 E Jolly Rd Ste 210
Lansing, MI 48910-6825
Phone
(517) 237-7162
NPI assigned
Dec 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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 5201007517 MI Primary

Addresses

Primary practice location

812 E Jolly Rd Ste 210
Lansing, MI 48910-6825

Mailing address

812 E Jolly Rd Ste 210
Lansing, MI 48910-6825
Phone (517) 237-7162

Other practice location 1

1011 Old US 27
A
St Johns, MI 48879
Phone (989) 224-4700

Other practice location 2

12871 Isle Royale Dr
DeWitt, MI 48820-8671
Phone (517) 897-5152

Other practice location 3

4000 N Michigan Rd
Dimondale, MI 48821-9744
Phone (517) 646-6258

Other practice location 4

2700 Burcham Dr
East Lansing, MI 48823-3898
Phone (517) 351-8377

Other practice location 5

1101 S Scott Rd
Saint Johns, MI 48879-8044
Phone (989) 224-8936

Other identifiers 1

IdentifierTypeStateIssuer
1588642110MedicaidMI

Other names 1

  • Bethany Clare Burow Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250308000211 MI Practitioner - Occupational Therapist in Private Practice 5294256129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

812 E Jolly Rd
Lansing, MI 48910-6818
Phone (517) 346-8200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
5201007517MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinton,Eaton, Ingham, Community Mental Health Past Accepting new patients

Organizations & group practices 2

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": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1629549795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 E JOLLY RD STE 210",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489106825",
            "telephone_number": "517-237-7162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 E JOLLY RD STE 210",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489106825",
            "telephone_number": "517-237-7162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1011 Old US 27",
            "address_2": "A",
            "address_purpose": "LOCATION",
            "city": "St Johns",
            "state": "MI",
            "postal_code": "48879",
            "country_code": "US",
            "telephone_number": "989-224-4700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12871 Isle Royale Dr",
            "address_purpose": "LOCATION",
            "city": "DeWitt",
            "state": "MI",
            "postal_code": "488208671",
            "country_code": "US",
            "telephone_number": "517-897-5152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4000 N Michigan Rd",
            "address_purpose": "LOCATION",
            "city": "Dimondale",
            "state": "MI",
            "postal_code": "488219744",
            "country_code": "US",
            "telephone_number": "517-646-6258",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2700 Burcham Dr",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488233898",
            "country_code": "US",
            "telephone_number": "517-351-8377",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 S Scott Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Johns",
            "state": "MI",
            "postal_code": "488798044",
            "country_code": "US",
            "telephone_number": "989-224-8936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHULT",
        "first_name": "BETHANY",
        "middle_name": "CLARE",
        "name_prefix": "Mrs.",
        "credential": "MS,OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201007517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588642110",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHANY",
            "last_name": "BUROW",
            "middle_name": "CLARE",
            "credential": "MS, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.