Active NPI
Luke Aaron Schlichenmayer, OTR/L
- Occupational Therapist
- Bismarck, ND
National Provider Identifier
1003179920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1220
- Practice address
- 1051 E Interstate Ave
Bismarck, ND 58503-0551 - Phone
- (701) 222-8322
- NPI assigned
- Jun 18, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1220 | ND | Primary |
Addresses
Primary practice location
1051 E Interstate Ave
Bismarck, ND 58503-0551
Mailing address
1518 E Boulevard Ave
Bismarck, ND 58501-4265
Phone (701) 527-8959
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1220 | ND | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339977600000",
"number": "1003179920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1518 E BOULEVARD AVE",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585014265",
"telephone_number": "701-527-8959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1051 E INTERSTATE AVE",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585030551",
"telephone_number": "701-222-8322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHLICHENMAYER",
"first_name": "LUKE",
"middle_name": "AARON",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-18",
"last_updated": "2012-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ND",
"license": "1220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.