MEDICARE: PAIGE SHEPARD OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	5201008880	MI

General Provider Information

NPI Number	:	1194131151
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAIGE SHEPARD OTR/L

Provider Business Mailing Address
First Line	:	1157 MEDICAL PARK DR SE
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49546-3686
Country	:	US
Telephone Number	:	616-949-7310
Fax Number	:	616-956-0973

Provider Business Practice Location Address
First Line	:	1157 MEDICAL PARK DR SE
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49546-3686
Country	:	US
Telephone Number	:	616-949-7310
Fax Number	:	616-956-0973

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2014
Last Update Date	:	07/10/2014

Similar Medicare Providers

1588601769 — JANICE SCHARICH
Practice Location Address:

1157 MEDICAL PARK DR SE
GRAND RAPIDS, MI
49546-3686

Practice Phone: 616-949-7310
Practice Fax:

1972848042 — HEATHER HILLS NURSING, LLC
Practice Location Address:

1157 MEDICAL PARK DR SE
GRAND RAPIDS, MI
49546-3686

Practice Phone: 616-949-7310
Practice Fax: 616-956-0973

1427749498 — IC COUNSELING AND CONSULTATION
Practice Location Address:

12119 GRAND ARCHES LN
HUMBLE, TX
77346-3686

Practice Phone: 281-513-2279
Practice Fax:

1700989761 — MR. COREY MATHEW SOBECK PT
Practice Location Address:

1175 WILSON AVE NW
GRAND RAPIDS, MI
49534-3493

Practice Phone: 616-284-3686
Practice Fax: 616-301-1984

1952281982 — JOYEUSE CYUSA
Practice Location Address:

790 FULLER AVE NE
GRAND RAPIDS, MI
49503-1918

Practice Phone: 616-289-3686
Practice Fax:

1396226312 — LOUKAS NICHOLAS KONDYLES LIMITED LICENSE COUN
Practice Location Address:

781 KENMOOR AVE SE STE C
GRAND RAPIDS, MI
49546-8624

Practice Phone: 616-259-4462
Practice Fax:

Directions to “ PAIGE SHEPARD OTR/L” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.