Individual provider Active NPI

Mariah Schuster Schick, OTR/L

  • Pediatric Occupational Therapist
  • Ketchikan, AK
National Provider Identifier
1184122459
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
60824409 Issued in WA
Practice address
721 Stedman St
Ketchikan, AK 99901-6632
Phone
(907) 225-7825
NPI assigned
Jan 31, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 174089 AK
Pediatric Occupational Therapist 225XP0200X 60824409 WA Primary

Addresses

Primary practice location

721 Stedman St
Ketchikan, AK 99901-6632

Mailing address

8278 S Tongass Hwy
Ketchikan, AK 99901-9763
Phone (406) 314-0299

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

LicenseStateTypeSpecialty
174089AKMDOccupational Therapist
60824409WAMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1184122459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8278 S TONGASS HWY",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999019763",
            "telephone_number": "406-314-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 STEDMAN ST",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999016632",
            "telephone_number": "907-225-7825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHICK",
        "first_name": "MARIAH",
        "middle_name": "SCHUSTER",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-31",
        "last_updated": "2022-04-22",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AK",
            "license": "174089",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "WA",
            "license": "60824409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ketchikan, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; 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.