Active NPI
Amy N Schroeder, OTR/L
- Occupational Therapist
- Yakima, WA
National Provider Identifier
1053960096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 3704 Summitview Ave
Yakima, WA 98902-2714 - Phone
- (509) 965-6330
- NPI assigned
- Sep 11, 2019
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
3704 Summitview Ave
Yakima, WA 98902-2714
Mailing address
3704 Summitview Ave
Yakima, WA 98902-2714
Phone (509) 965-6330
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OT00000630 | Other | WA | PROFESSIONAL LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Yakima |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yakima Hand Clinic, Inc. | Occupational Therapist | Current | Accepting new patients |
Locations
3704 Summitview Ave
Yakima, WA 98902
Phone (509) 575-5583
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568160000000",
"number": "1053960096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3704 SUMMITVIEW AVE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989022714",
"telephone_number": "509-965-6330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3704 SUMMITVIEW AVE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989022714",
"telephone_number": "509-965-6330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHROEDER",
"first_name": "AMY",
"middle_name": "N",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-11",
"last_updated": "2019-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFESSIONAL LICENSE",
"identifier": "OT00000630",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Yakima",
"affiliation": "N",
"address_1": "3704 Summitview Ave",
"city": "Yakima",
"state": "WA",
"country_code": "US",
"postal_code": "989022714",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.