Individual provider · Type 1 NPI

Shannon Boss, MSOT

Occupational Therapist · Grand Rapids, MI

NPI number 1063306538 Active

Practice location

5429 Northland Dr NE Ste A
Grand Rapids, MI 49525-1089

Call (616) 855-0540 Map

Fax (616) 855-1185

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist 225X00000X5201014225 (MI)
Occupational Therapist Primary 225X00000XOT24147 (FL)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1063306538

Shannon Boss, MSOT's National Provider Identifier is 1063306538, issued on Jun 7, 2025. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Grand Rapids, MI. The record was last updated on May 23, 2026.