Individual provider Active NPI

Jamie Ryan Schefter, OTR-L

  • Occupational Therapy Assistant
  • Kalispell, MT
National Provider Identifier
1366567745
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
772 Issued in MT
Practice address
205 Sunnyview LN
Kalispell, MT 59901-3120
Phone
(406) 751-4189
Fax
(406) 751-4527
NPI assigned
Mar 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 772 MT Primary

Addresses

Primary practice location

205 Sunnyview LN
Kalispell, MT 59901-3120

Mailing address

248 Mallard Loop
Whitefish, MT 59937-8472
Phone (406) 212-0088

Other identifiers 1

IdentifierTypeStateIssuer
772 (CEAS - ON LIC )OtherMTERGO.ASSESSMENT SPECIALIS

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

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366567745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 MALLARD LOOP",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599378472",
            "telephone_number": "406-212-0088",
            "fax_number": "406-751-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 SUNNYVIEW LN",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013120",
            "telephone_number": "406-751-4189",
            "fax_number": "406-751-4527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEFTER",
        "first_name": "JAMIE",
        "middle_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "OTR-L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MT",
            "license": "772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ERGO.ASSESSMENT SPECIALIS",
            "identifier": "772 (CEAS - ON LIC )",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

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.

Verify at the official NPI Registry.