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

Shannon Boss, MSOT

Individual provider Occupational Therapist · NPI 1063306538

Shannon Boss, MSOT is an Occupational Therapist in Private Practice in Grand Rapids, Michigan. Qualified in 2021, 5 years ago. Practices with Institute of Contextual Human Health, Wellness, and Performance, a 6-clinician group and accepts Medicare assignment. Licensed in Florida and Michigan.

Years since qualifying
5
Licensed in
FL, MI
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

5429 Northland Dr NE Ste A
Grand Rapids, MI 49525-1089
Phone: (616) 855-0540
Fax: (616) 855-1185
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT24147 (FL)
Occupational Therapist Taxonomy 225X00000X · Licence 5201014225 (MI)

Record details

NPI number1063306538
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSOT
Sole proprietorNo
NPI enumeratedJune 7, 2025
Last updated in NPPESMay 23, 2026
Certification dateMay 23, 2026

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Institute Of Contextual Human Health, Wellness, And Performance — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Grand Rapids