Active NPI
Julienne Schnettler, OTR/L
- Occupational Therapist
- East Tawas, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201007519
- 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, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508383837 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michelle Lynn Therapy PLC | Occupational Therapist | Current | Accepting new patients |
| Peak Rehab LLC | Occupational Therapist | Current | 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.
-
dba Fun First Therapy
- Speech-Language Pathologist
- East Tawas, MI
- NPI 1033729603
Occupational Therapist
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.