Active NPI
Shanmin Sultana
- Occupational Therapist
- Royal Oak, MI
National Provider Identifier
1831027788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201014196
- Practice address
- 2512 Rochester Rd
Royal Oak, MI 48073-3635 - Phone
- (248) 733-4325
- Fax
- (248) 268-7979
- NPI assigned
- May 11, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201014196 | MI | Primary |
Addresses
Primary practice location
2512 Rochester Rd
Royal Oak, MI 48073-3635
Mailing address
2512 Rochester Rd
Royal Oak, MI 48073-3635
Phone (248) 733-4325
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
10 Brandywine Dr
Mastic, NY 11950-1404
44125 Ford Rd
Canton, MI 48187-3174
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5201014196 | MI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back to You Rehab PLLC | Occupational Therapist | Current | Accepting new patients |
Locations
44125 Ford Rd
Canton, MI 48187
Phone (248) 891-5491
2512 Rochester Rd
Royal Oak, MI 48073
Phone (248) 733-4325
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": "1778457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778457600000",
"number": "1831027788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2512 ROCHESTER RD",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480733635",
"telephone_number": "248-733-4325",
"fax_number": "248-268-7979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2512 ROCHESTER RD",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480733635",
"telephone_number": "248-733-4325",
"fax_number": "248-268-7979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULTANA",
"first_name": "SHANMIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-11",
"last_updated": "2026-05-11",
"certification_date": "2026-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201014196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.