Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda Jean Gordon, OTRL, CLT-UE, CKTP

Individual provider Occupational Therapist · NPI 1528569704

Amanda Jean Gordon, OTRL, CLT-UE, CKTP is an Occupational Therapist in Private Practice in Shelby Township, Michigan. Qualified in 2003, 23 years ago. Practices with Michigan Orthopaedic Surgeons PLLC, a 126-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
23
Licensed in
MI
In the registry since
2018
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Practice location Address checks out

45816 Schoenherr Rd Ste B
Shelby Township, MI 48315-6028
Phone: (586) 900-2100
Fax: (586) 900-2101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 33875 Kiely Dr, Chesterfield, MI 48047-3604 — (586) 725-6030

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 5201006820 (MI)

Record details

NPI number1528569704
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTRL , CLT-UE , CKTP
Sole proprietorNo
NPI enumeratedFebruary 23, 2018
Last updated in NPPESOctober 29, 2025
Certification dateOctober 29, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Michigan Orthopaedic Surgeons Pllc — 126 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Shelby Township