Individual provider Active NPI

Julienne Schnettler, OTR/L

  • Occupational Therapist
  • East Tawas, MI
National Provider Identifier
1427280270
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201007519 Issued in MI
Practice address
1691 E US 23 Ste 4
East Tawas, MI 48730-9337
Phone
(989) 479-7550
Fax
(989) 702-2260
NPI assigned
Aug 12, 2009
Last updated
May 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 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 5201007519 MI Primary

Addresses

Primary practice location

1691 E US 23 Ste 4
East Tawas, MI 48730-9337

Mailing address

1691 E US 23 Ste 4
East Tawas, MI 48730-9337
Phone (989) 479-7550

Other practice location 1

400 North St W
Tawas City, MI 48763-9161
Phone (989) 362-8645

Other identifiers 1

IdentifierTypeStateIssuer
1508383837MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL jschnettler@funfirsttherapy.com Michelle Lynn Therapy PLC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101209000200 MI Practitioner - Occupational Therapist in Private Practice 4688861123 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peak Rehab LLCGroup PAC ID 5799122032, 29 clinicians

Practice addresses (Care Compare)

7376 Glen Eagle Dr
Bay City, MI 48706-9316
Phone (989) 992-1367

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle Lynn Therapy PLC Occupational Therapist CurrentSince May 9, 2022 Accepting new patients
Peak Rehab LLC Occupational Therapist CurrentSince Jul 11, 2024 Accepting new patients

Locations

1691 E US 23
Ste 4
East Tawas, MI 48730
Phone (989) 362-2897

Organizations & group practices 2

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": "1250035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1427280270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1691 E US 23 STE 4",
            "city": "EAST TAWAS",
            "state": "MI",
            "postal_code": "487309337",
            "telephone_number": "989-479-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1691 E US 23 STE 4",
            "city": "EAST TAWAS",
            "state": "MI",
            "postal_code": "487309337",
            "telephone_number": "989-479-7550",
            "fax_number": "989-702-2260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 North St W",
            "address_purpose": "LOCATION",
            "city": "Tawas City",
            "state": "MI",
            "postal_code": "487639161",
            "country_code": "US",
            "telephone_number": "989-362-8645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHNETTLER",
        "first_name": "JULIENNE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-12",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201007519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508383837",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jschnettler@funfirsttherapy.com",
            "affiliation": "Y",
            "affiliationName": "Michelle Lynn Therapy PLC",
            "address_1": "1691 E US 23 Ste 4",
            "city": "East Tawas",
            "state": "MI",
            "country_code": "US",
            "postal_code": "487309337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in East Tawas, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.