SHANNON RENAE RUZICKA OTR/L
NPI 1871767988
Occupational Therapist in Bennet, NE

Active since April 18, 2008
50 TALL GRASS CIR, BENNET, NE 68317(402) 310-9505 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shannon Renae Ruzicka Otr/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON RENAE RUZICKA OTR/L (NPI 1871767988) is an individual occupational therapist in Bennet, Nebraska, licensed in Nebraska (1246) and active in the NPI registry since April 2008.

NPPES Registry Identity

NPI1871767988
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameSHANNON RENAE RUZICKACredential: OTR/L
Location Address50 TALL GRASS CIRBennet, NE 68317-2411
Mailing Address50 Tall Grass CirBennet, NE 68317-2411 · (402) 310-9505
Sole ProprietorNo
Enumeration DateApril 18, 2008
Last NPPES UpdateJanuary 9, 2025
NPPES CertifiedJanuary 6, 2025
✔ NPI 1871767988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in NE · 1246
Definition
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 experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
50 TALL GRASS CIR, Bennet, NE 68317

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Renae Ruzicka Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Shannon Ruzicka reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Occupational Therapist
50 TALL GRASS CIR
Bennet, NE 68317
  • Reassigned Medicare billing, Nebraska enrollment
  • 2 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
50 TALL GRASS CIR
BENNET, NE 68317
Occupational Therapy Assistant
50 TALL GRASS CIR
BENNET, NE 68317

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Ruzicka's NPI number?

The NPI number for Shannon Ruzicka is 1871767988. It was assigned to this individual provider in the NPPES registry on April 18, 2008.

Where is Shannon Ruzicka located?

Shannon Ruzicka practices at 50 Tall Grass Cir, Bennet, NE 68317. The listed phone number is (402) 310-9505.

What is Shannon Ruzicka's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Shannon Ruzicka enrolled in Medicare?

Yes. Shannon Ruzicka is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shannon Ruzicka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Ruzicka reassigns Medicare benefits to Agewise Therapy LLC (Bennet, NE). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shannon Ruzicka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Ruzicka accept?

Health plans from Blue Cross and Blue Shield of Nebraska list Shannon Ruzicka as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shannon Ruzicka was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.