Individual provider Active NPI

Theresa Ann Schmitz, MS, OTR/L

  • Occupational Therapist
  • Lacey, WA
National Provider Identifier
1295754117
Registry record updated Nov 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT 00004494 Issued in WA
Practice address
677 Woodland Square Loop SE
Suite D-8
Lacey, WA 98503-1000
Phone
(360) 539-8801
Fax
(360) 539-1745
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2013

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 OT 00004494 WA Primary

Addresses

Primary practice location

677 Woodland Square Loop SE
Suite D-8
Lacey, WA 98503-1000

Mailing address

8881 Windham CT NE
Lacey, WA 98516-3884
Phone (360) 402-9269

Other identifiers 1

IdentifierTypeStateIssuer
203074000MedicaidWA

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OT 00004494WAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Schmitz Occupational Therapy Services PLLC Occupational Therapist Past Accepting new patients

Organizations & group practices 1

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385078400000",
    "number": "1295754117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8881 WINDHAM CT NE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985163884",
            "telephone_number": "360-402-9269",
            "fax_number": "360-539-1745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 WOODLAND SQUARE LOOP SE",
            "address_2": "SUITE D-8",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031000",
            "telephone_number": "360-539-8801",
            "fax_number": "360-539-1745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMITZ",
        "first_name": "THERESA",
        "middle_name": "ANN",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2013-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT 00004494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203074000",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; 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.