Individual provider Active NPI

Jeffrey John Santini, OT

  • Occupational Therapist
  • Muskegon, MI
National Provider Identifier
1952077489
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201007638 Issued in MI
Practice address
2685 Henry Street
Muskegon, MI 49441-3564
Phone
(231) 755-4404
Fax
(231) 755-7704
NPI assigned
Aug 16, 2021
Last updated
Jan 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5201007638 MI Primary
Hand Occupational Therapist 225XH1200X 201705116 MI

Addresses

Primary practice location

2685 Henry Street
Muskegon, MI 49441-3564

Mailing address

18000 Cove Street
Suite 202
Spring Lake, MI 49456-1383
Phone (616) 847-1280

Other identifiers 2

IdentifierTypeStateIssuer
201705116OtherMIHAND THERAPY CERTIFICATION COMMISSION
5201007638OtherMISTATE OF MICHIGAN, BOARD OF OCCUPATIONAL THERAPISTS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211020000295 MI Practitioner - Occupational Therapist in Private Practice 2264820539 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shoreline Sport and Spine PLLCGroup PAC ID 4284673575, 44 clinicians

Practice addresses (Care Compare)

1400 Mercy Dr
Suite 100
Muskegon, MI 49444-1833
Phone (231) 733-1326

18000 Cove St
Spring Lake, MI 49456-1383
Phone (616) 847-1280

2685 Henry St
Muskegon, MI 49441-3564
Phone (231) 755-4404

Merit-based Incentive Payment System (MIPS)

Final score
97.76 of 100Reported as group
Quality
100
Promoting interoperability
91
Improvement activities
40
Cost
96.35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
201705116MIMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Shoreline Sport & Spine PLLC CurrentSince Jan 1, 2025 Accepting new patients
Shoreline Sport & Spine PLLC CurrentSince Jan 1, 2025 Accepting new patients

Locations

2685 Henry St
Muskegon, MI 49441
Phone (231) 755-4404

18000 Cove St
Ste 202
Spring Lake, MI 49456
Phone (616) 847-1280

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1952077489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18000 COVE STREET",
            "address_2": "SUITE 202",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494561383",
            "telephone_number": "616-847-1280",
            "fax_number": "616-847-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2685 HENRY STREET",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494413564",
            "telephone_number": "231-755-4404",
            "fax_number": "231-755-7704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTINI",
        "first_name": "JEFFREY",
        "middle_name": "JOHN",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-16",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201007638",
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "MI",
            "license": "201705116",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAND THERAPY CERTIFICATION COMMISSION",
            "identifier": "201705116",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MICHIGAN, BOARD OF OCCUPATIONAL THERAPISTS",
            "identifier": "5201007638",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.