Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shane Allen, MOT

Individual provider Occupational Therapist · NPI 1366852709

Shane Allen, MOT is an Occupational Therapist in Private Practice in Marshall, Michigan. Qualified in 2013, 13 years ago. Practices with Athletico Ltd, a 2,186-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
13
Licensed in
IL
In the registry since
2014

Practice location Address checks out

823 W Michigan Ave
Marshall, MI 49068-1445
Phone: (269) 248-4300
Fax: (269) 781-5505
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 056010550 (IL)

Record details

NPI number1366852709
Entity typeIndividual (Type 1)
GenderMale
Credentials MOT
Sole proprietorNo
NPI enumeratedMay 7, 2014
Last updated in NPPESAugust 28, 2024
Certification dateAugust 28, 2024
Mailing address2122 York Rd Ste 300, Oak Brook, IL 60523-1925

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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