Active NPI
Jody Emmery Schommer, OTRL
- Occupational Therapist
- Fargo, ND
National Provider Identifier
1255375168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 811
- Practice address
- 2101 Elm St N
130
Fargo, ND 58102 - Phone
- (701) 232-3241
- Fax
- (701) 239-3721
- NPI assigned
- Jun 15, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
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 | 811 | ND | Primary |
Addresses
Primary practice location
2101 Elm St N
130
Fargo, ND 58102
Mailing address
712 34TH Ave W
West Fargo, ND 58078
Phone (701) 238-7201
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
| License | State | Type | Specialty |
|---|---|---|---|
| 811 | ND | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1255375168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "712 34TH AVE W",
"city": "WEST FARGO",
"state": "ND",
"postal_code": "58078",
"telephone_number": "701-238-7201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 ELM ST N",
"address_2": "130",
"city": "FARGO",
"state": "ND",
"postal_code": "58102",
"telephone_number": "701-232-3241",
"fax_number": "701-239-3721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOMMER",
"first_name": "JODY",
"middle_name": "EMMERY",
"name_prefix": "Mr.",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ND",
"license": "811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.