Individual provider Active NPI

Nicole Lynn Schultz, NICOLE SCHULTZ, OTR

  • Occupational Therapist
  • Indianapolis, IN
National Provider Identifier
1326683418
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
8810 Colby Blvd
Indianapolis, IN 46268-1399
Phone
(317) 552-2186
NPI assigned
Nov 12, 2019
Last updated
Nov 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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 Primary

Addresses

Primary practice location

8810 Colby Blvd
Indianapolis, IN 46268-1399

Mailing address

5467 Turfway Cir
Indianapolis, IN 46228-2094
Phone (812) 630-0387

Other practice location 1

8601 Shelby St
Indianapolis, IN 46227-6596
Phone (317) 885-4446

Other names 1

  • Nicole Lynn Weyer Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191127001017 IN Practitioner - Occupational Therapist in Private Practice 5496188716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
My Wellness Team LLCGroup PAC ID 5890142145, 41 clinicians

Practice addresses (Care Compare)

11011 Village Square LN
Fishers, IN 46038-4559
Phone (866) 360-9355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
My Wellness Team LLC Occupational Therapist CurrentSince Jan 6, 2025 Accepting new patients

Locations

4411 Park Place Dr
Fort Wayne, IN 46845
Phone (260) 205-8451

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1326683418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5467 TURFWAY CIR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462282094",
            "telephone_number": "812-630-0387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8810 COLBY BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462681399",
            "telephone_number": "317-552-2186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8601 Shelby St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462276596",
            "country_code": "US",
            "telephone_number": "317-885-4446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "NICOLE",
        "middle_name": "LYNN",
        "credential": "NICOLE SCHULTZ, OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-12",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "WEYER",
            "middle_name": "LYNN",
            "credential": "NICOLE WEYER, OTR",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.