Jordan Shoen, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

107703 Issued in MN

Practice address

830 Sunrise Drive
Suite B
Saint Peter, MN 56082-1203

Phone

(507) 934-3573

Fax

(507) 934-4072

NPI assigned

Mar 10, 2025

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 MN

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

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.

• St. Cloud Hospital

  • General Acute Care Hospital
  • Saint Cloud, MN
  • NPI 1043269798
  Medicare reassignment NPD
• Centracare Clinic

  • Multi-Specialty Clinic/Center
  • St Cloud, MN
  • NPI 1043212665
  Medicare reassignment
• Go Therapy Inc

  • Speech-Language Pathologist
  • Saint Peter, MN
  • NPI 1841730876

  Occupational Therapist

  NPD
• St. Cloud Hospital

  • Psychiatric Hospital Unit
  • Saint Cloud, MN
  • NPI 1932419058
  NPD
• St. Cloud Hospital

  • Rehabilitation Hospital Unit
  • Saint Cloud, MN
  • NPI 1619934627
  NPD (past)

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

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1750180055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 CENTRACARE CIR",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563035000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 SUNRISE DRIVE",
            "address_2": "SUITE B",
            "city": "SAINT PETER",
            "state": "MN",
            "postal_code": "560821203",
            "telephone_number": "507-934-3573",
            "fax_number": "507-934-4072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOEN",
        "first_name": "JORDAN",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "107703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Monique Sebring, LICSW
• Seeds of Serenity Mental Health PLLC
• Dana Jane Seifert, DPT
• Katherine Serrano
• Emily Rose Sheetz, LPCC
• Shopko Stores Operating Co LLC
• William G Shores, MD
• Aubrey E Sieberg, PSYD, LP
• Kathy Sieveking, PSY.D., LP
• Diandra Elizabeth Sigurdsson, PSY.D.

• Occupational Therapist in Saint Peter, MN
• Providers in Saint Peter, MN by specialty
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.