Individual provider Active NPI

Andrew R Shooltz, OTRL

  • Physical Rehabilitation Occupational Therapist
  • Auburn Hills, MI
National Provider Identifier
1750810818
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
5201009076 Issued in MI
Practice address
3100 Cross Creek Pkwy Ste 160
Auburn Hills, MI 48326-2775
Phone
(248) 377-8000
NPI assigned
Jun 12, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5201009076 MI
Physical Rehabilitation Occupational Therapist 225XP0019X 5201009076 MI Primary

Addresses

Primary practice location

3100 Cross Creek Pkwy Ste 160
Auburn Hills, MI 48326-2775

Mailing address

3100 Cross Creek Pkwy Ste 160
Auburn Hills, MI 48326-2775
Phone (248) 377-8000

Other practice location 1

72980 Fulton St Ste B
Armada, MI 48005-4873
Phone (586) 784-6004

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171017001330 MI Practitioner - Occupational Therapist in Private Practice 0941576128 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rochester Knee and Sports Medicine PCGroup PAC ID 1355387564, 31 clinicians

Practice addresses (Care Compare)

3100 Cross Creek Pkwy
Auburn Hills, MI 48326-2775

72980 Fulton St
Suite B
Armada, MI 48005-4873
Phone (586) 784-6004

Merit-based Incentive Payment System (MIPS)

Final score
78.53 of 100Reported as group
Quality
60.91
Promoting interoperability
98
Improvement activities
40
Cost
69.19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester Knee & Sports Medicine PC CurrentSince Jul 1, 2017 Accepting new patients
Plymouth Physical Therapy Specialists Limited Partnership Physical Therapist CurrentSince Sep 9, 2025 Accepting new patients
Rochester Knee & Sports Medicine, PC Physical Therapist CurrentSince Jul 1, 2017 Accepting new patients
Plymouth Physical Therapy Specialists Limited Partnership Physical Therapist CurrentSince Sep 9, 2025 Accepting new patients

Locations

72980 Fulton St
Ste B
Armada, MI 48005
Phone (586) 784-6004

3100 Cross Creek Pkwy
Ste 160
Auburn Hills, MI 48326
Phone (248) 364-4064

49650 Cherry Hill Rd
Ste 230
Canton, MI 48187
Phone (734) 495-3725

4128 E Grand River Ave
Howell, MI 48843
Phone (517) 540-1060

39885 Grand River Ave
Ste 300
Novi, MI 48375
Phone (248) 615-0282

9368 N Lilley Rd
Plymouth, MI 48170
Phone (734) 416-3900

Organizations & group practices 4

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": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1750810818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 CROSS CREEK PKWY STE 160",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483262775",
            "telephone_number": "248-377-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 CROSS CREEK PKWY STE 160",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483262775",
            "telephone_number": "248-377-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "72980 Fulton St Ste B",
            "address_purpose": "LOCATION",
            "city": "Armada",
            "state": "MI",
            "postal_code": "480054873",
            "country_code": "US",
            "telephone_number": "586-784-6004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOOLTZ",
        "first_name": "ANDREW",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-12",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5201009076",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "MI",
            "license": "5201009076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.