Active NPI
Gwyn Schumacher
- Occupational Therapist
- Java, SD
National Provider Identifier
1174079479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0627
- Practice address
- 3111 Chicago St
Java, SD 57452 - Phone
- (605) 649-6296
- NPI assigned
- Aug 28, 2016
- Last updated
- Aug 28, 2016
- Sex
- Female
- 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 | 0627 | SD | Primary |
Addresses
Primary practice location
3111 Chicago St
Java, SD 57452
Mailing address
310 2ND Ave SE
Ashley, ND 58413-7340
Phone (701) 228-2410
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0627 | Other | SD | SOUTH DAKOTA BOARD OF MEDICAL AND OSTEOPATHIC EXAMINERS |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472342400000",
"number": "1174079479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 2ND AVE SE",
"city": "ASHLEY",
"state": "ND",
"postal_code": "584137340",
"telephone_number": "701-228-2410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3111 CHICAGO ST",
"city": "JAVA",
"state": "SD",
"postal_code": "57452",
"telephone_number": "605-649-6296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHUMACHER",
"first_name": "GWYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-28",
"last_updated": "2016-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SD",
"license": "0627",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTH DAKOTA BOARD OF MEDICAL AND OSTEOPATHIC EXAMINERS",
"identifier": "0627",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Java, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.