Individual provider Active NPI

Jeremy C Schulz, COTA/L

  • Occupational Therapy Assistant
  • Cincinnati, OH
National Provider Identifier
1184850596
Registry record updated Jun 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA 03713 Issued in OH
Practice address
4440 Carver Woods Dr
Cincinnati, OH 45242-5529
Phone
(513) 791-5688
Fax
(513) 791-0023
NPI assigned
Jun 1, 2009
Sex
Male
Sole proprietor
No

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.

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
OTA 03713OHMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cincinnati Occupational Therapy Institute Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA 03713 OH Primary

Addresses

NPPES NPI Registry

Primary practice location

4440 Carver Woods Dr
Cincinnati, OH 45242-5529

Mailing address

4440 Carver Woods Dr
Cincinnati, OH 45242-5529
Phone (513) 791-5688

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 1, 2009.

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243814400000",
    "number": "1184850596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 CARVER WOODS DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452425529",
            "telephone_number": "513-791-5688",
            "fax_number": "513-791-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 CARVER WOODS DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452425529",
            "telephone_number": "513-791-5688",
            "fax_number": "513-791-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULZ",
        "first_name": "JEREMY",
        "middle_name": "C",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-01",
        "last_updated": "2009-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OH",
            "license": "OTA 03713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; 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.