Fatema Lynn Cischke, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

32001532A Issued in IN

Practice address

1950 Ridgedale Rd
South Bend, IN 46614-2243

Phone

(574) 291-6722

Fax

(574) 291-8768

NPI assigned

Apr 10, 2014

Last updated

Apr 10, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397088000000",
    "number": "1104245695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55196 HOLMES RD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466284912",
            "telephone_number": "574-310-9198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 RIDGEDALE RD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466142243",
            "telephone_number": "574-291-6722",
            "fax_number": "574-291-8768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CISCHKE",
        "first_name": "FATEMA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-10",
        "last_updated": "2014-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IN",
            "license": "32001532A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Peter Chunga, MD.
• Brenda L Chupp, LCSW
• Adam Joseph Cien, D.O.
• Wendi Ciesielska, APRN
• Mori Ciesiolka
• Paige E Cisna, NP
• City of South Bend (South Bend Fire Dept. EMS)
• Deborah Kay Clardy, L.M.H.C.
• Jayla Clark, LMCHA
• Kara Clark, RBT

• Occupational Therapy Assistant in South Bend, IN
• Providers in South Bend, IN by specialty
• Occupational Therapy Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.