Jordan Shuler, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201013963 Issued in MI

Practice address

3281 Racquet Club Dr Unit a
Traverse City, MI 49684-4701

Phone

(231) 941-8100

NPI assigned

Aug 30, 2024

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

Other names 1

• Jordan Filice Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1724976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1629802756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12372 S LOVELL LN # 8-201",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842715",
            "telephone_number": "517-927-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3281 RACQUET CLUB DR UNIT A",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496844701",
            "telephone_number": "231-941-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULER",
        "first_name": "JORDAN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201013963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDAN",
            "last_name": "FILICE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexis Brooke Showers, PTA
• Katheryn Marie Shrift-Ackerman, SLP
• Anna Lynn Shrift, PA-C
• Lacy Shugar
• Bethany Shuler
• Courtney Shulick
• Sergei Shumaster
• Sic of Michigan, PC
• Shari Siddall, COTA/L-CLT
• Amelia Beth Siders, PH.D.

• Occupational Therapist in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.