Individual provider Active NPI

Laura Jayne Schadler, O.T.R.

  • Occupational Therapist
  • Greendale, WI
National Provider Identifier
1265609770
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3413-026 Issued in WI
Practice address
5404 W Loomis Rd
Greendale, WI 53129-1411
Phone
(414) 421-0088
Fax
(414) 421-2163
NPI assigned
May 14, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 3413-026 WI Primary

Addresses

Primary practice location

5404 W Loomis Rd
Greendale, WI 53129-1411

Mailing address

5404 W Loomis Rd
Greendale, WI 53129-1411
Phone (414) 421-0088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131125000202 WI Practitioner - Occupational Therapist in Private Practice 7214163187 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paxxon Healthcare Services LLCGroup PAC ID 8325959554, 153 clinicians

Practice addresses (Care Compare)

1820 S 75TH St
West Allis, WI 53214-5709
Phone (414) 774-4411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3413-026WIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpro Heritage Rehab & Fitness, LLC Occupational Therapist CurrentSince Aug 16, 2017 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Occupational Therapist CurrentSince Aug 16, 2017 Accepting new patients

Locations

199 Cty Df
Juneau, WI 53039
Phone (262) 735-8005

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1265609770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5404 W LOOMIS RD",
            "city": "GREENDALE",
            "state": "WI",
            "postal_code": "531291411",
            "telephone_number": "414-421-0088",
            "fax_number": "414-421-2163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5404 W LOOMIS RD",
            "city": "GREENDALE",
            "state": "WI",
            "postal_code": "531291411",
            "telephone_number": "414-421-0088",
            "fax_number": "414-421-2163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHADLER",
        "first_name": "LAURA",
        "middle_name": "JAYNE",
        "name_prefix": "Mrs.",
        "credential": "O.T.R.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "3413-026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greendale, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.