Active NPI
David Daniel Schroeder, OTRL
- Occupational Therapist
- Fergus Falls, MN
National Provider Identifier
1275747602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 102130
- Practice address
- 29774 Riverview Rd
Fergus Falls, MN 56537-7937 - Phone
- (218) 770-6781
- Fax
- (218) 736-4392
- NPI assigned
- May 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 102130 | FM | Primary |
Addresses
Primary practice location
29774 Riverview Rd
Fergus Falls, MN 56537-7937
Mailing address
29774 Riverview Rd
Fergus Falls, MN 56537-7937
Phone (218) 770-6781
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 |
|---|---|---|---|
| 102130 | FM | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275747602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29774 RIVERVIEW RD",
"city": "FERGUS FALLS",
"state": "MN",
"postal_code": "565377937",
"telephone_number": "218-770-6781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29774 RIVERVIEW RD",
"city": "FERGUS FALLS",
"state": "MN",
"postal_code": "565377937",
"telephone_number": "218-770-6781",
"fax_number": "218-736-4392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHROEDER",
"first_name": "DAVID",
"middle_name": "DANIEL",
"name_prefix": "Mr.",
"credential": "OTRL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FM",
"license": "102130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fergus Falls, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.