Individual provider Active NPI

Samantha Margret Dunleavy-Shotsberger, OT

  • Hand Occupational Therapist
  • Battle Creek, MI
National Provider Identifier
1891592945
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
5201014170 Issued in MI
Practice address
2545 Capital Ave SW Ste 201
Battle Creek, MI 49015-7103
Phone
(269) 350-2206
Fax
(269) 979-1880
NPI assigned
Feb 26, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 5201014170 MI Primary

Addresses

Primary practice location

2545 Capital Ave SW Ste 201
Battle Creek, MI 49015-7103

Mailing address

2545 Capital Ave SW Ste 201
Battle Creek, MI 49015-7103
Phone (269) 350-2206

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250331001592 MI Practitioner - Occupational Therapist in Private Practice 4284157231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Lakes Hand Therapy PCGroup PAC ID 0840109930, 5 clinicians

Practice addresses (Care Compare)

3600 Capital Ave SW
Suite 103
Battle Creek, MI 49015-9393
Phone (269) 979-0874

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5201014170MIMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Center of Physical Medicine P.C. Current Accepting new patients
Great Lakes Hand Therapy PC CurrentSince Mar 6, 2025 Accepting new patients
Great Lakes Hand Therapy PC Hand CurrentSince Mar 6, 2025 Accepting new patients

Locations

2545 Capital Ave SW
Ste 201
Battle Creek, MI 49015
Phone (269) 224-6190

3600 Capital Ave SW
Ste 103
Battle Creek, MI 49015
Phone (269) 979-0874

7971 Moorsbridge Rd
Portage, MI 49024
Phone (269) 321-0929

Organizations & group practices 3

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": "1740528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1891592945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 CAPITAL AVE SW STE 201",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490157103",
            "telephone_number": "269-350-2206",
            "fax_number": "269-979-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 CAPITAL AVE SW STE 201",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490157103",
            "telephone_number": "269-350-2206",
            "fax_number": "269-979-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNLEAVY-SHOTSBERGER",
        "first_name": "SAMANTHA",
        "middle_name": "MARGRET",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-26",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "MI",
            "license": "5201014170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.