Individual provider Active NPI

Jenae Schneider

  • Occupational Therapist
  • Watertown, SD
National Provider Identifier
1295407526
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1258 Issued in SD
Practice address
8 5TH St SE
Watertown, SD 57201-3713
Phone
(605) 753-5400
Fax
(605) 753-6208
NPI assigned
Oct 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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 OTP-OT-LIC-8566 MT
Occupational Therapist 225X00000X 1258 SD Primary

Addresses

Primary practice location

8 5TH St SE
Watertown, SD 57201-3713

Mailing address

14336 SD Highway 109
Big Stone City, SD 57216-5528

Other practice location 1

110 28th Ave SE Suite 301
Watertown, SD 57201-8420
Phone (605) 753-5400

Other practice location 2

925 S Semoran Blvd Ste 110A
Winter Park, FL 32792-5313
Phone (888) 830-1050

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
1258SDMDPhysical Therapist
OTP-OT-LIC-8566MTMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1295407526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14336 SD HIGHWAY 109",
            "city": "BIG STONE CITY",
            "state": "SD",
            "postal_code": "572165528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 5TH ST SE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572013713",
            "telephone_number": "605-753-5400",
            "fax_number": "605-753-6208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 28th Ave SE Suite 301",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "SD",
            "postal_code": "572018420",
            "country_code": "US",
            "telephone_number": "605-753-5400",
            "fax_number": "605-753-6208",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "925 S Semoran Blvd Ste 110A",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327925313",
            "country_code": "US",
            "telephone_number": "888-830-1050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "JENAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MT",
            "license": "OTP-OT-LIC-8566",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SD",
            "license": "1258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.