Individual provider Active NPI

Michael Joseph Schwab, OT, MOTR/L

  • Occupational Therapist
  • Aiken, SC
National Provider Identifier
1225526098
Registry record updated May 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT.5818 Issued in SC
Practice address
550 Eastgate Dr
Aiken, SC 29803-7688
Phone
(803) 643-3694
NPI assigned
Apr 27, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2020

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 OT007036 GA
Occupational Therapist 225X00000X OT.5818 SC Primary

Addresses

Primary practice location

550 Eastgate Dr
Aiken, SC 29803-7688

Mailing address

2905 Arrowhead Dr Apt L1
Augusta, GA 30909-6035
Phone (607) 592-8731

Other practice location 1

1111 Lower Fayetteville Rd Ste 2000
Newnan, GA 30265-6506
Phone (770) 251-7284

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT.5818SCMDOccupational Therapist
5818SCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590883200000",
    "number": "1225526098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 ARROWHEAD DR APT L1",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096035",
            "telephone_number": "607-592-8731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 EASTGATE DR",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298037688",
            "telephone_number": "803-643-3694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 Lower Fayetteville Rd Ste 2000",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302656506",
            "country_code": "US",
            "telephone_number": "770-251-7284",
            "fax_number": "770-251-7295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHWAB",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "credential": "OT, MOTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-27",
        "last_updated": "2020-05-31",
        "certification_date": "2020-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT007036",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "OT.5818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2020; 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.