Individual provider Active NPI

Shelley L Spitzer, OTR

  • Occupational Therapist
  • Stillwater, MN
National Provider Identifier
1699722934
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
102319 Issued in MN
Practice address
1460 Curve Crest Blvd W
Stillwater, MN 55082-6070
Phone
(651) 439-8283
Fax
(651) 439-0576
NPI assigned
May 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 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 102319 MN Primary

Addresses

Primary practice location

1460 Curve Crest Blvd W
Stillwater, MN 55082-6070

Mailing address

2520 12TH Ave E
North St Paul, MN 55109-2420
Phone (651) 748-7450

Other practice location 1

2520 12th Ave E
North St Paul, MN 55109-2420
Phone (651) 748-7450

Other identifiers 3

IdentifierTypeStateIssuer
HP44438OtherMNHEALTHPARTNERS
64-05117OtherMNMEDICA
84D89PEOtherMNBCBS-MINNESOTA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
102319MNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Isd 622 Education Center Past Accepting new patients

Organizations & group practices 1

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": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1699722934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 12TH AVE E",
            "city": "NORTH ST PAUL",
            "state": "MN",
            "postal_code": "551092420",
            "telephone_number": "651-748-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 CURVE CREST BLVD W",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550826070",
            "telephone_number": "651-439-8283",
            "fax_number": "651-439-0576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2520 12th Ave E",
            "address_purpose": "LOCATION",
            "city": "North St Paul",
            "state": "MN",
            "postal_code": "551092420",
            "country_code": "US",
            "telephone_number": "651-748-7450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPITZER",
        "first_name": "SHELLEY",
        "middle_name": "L",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2026-07-13",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "102319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "HP44438",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "64-05117",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-MINNESOTA",
            "identifier": "84D89PE",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.