Individual provider Active NPI

Agnes Winifred Schulze, OTR

  • Occupational Therapist
  • Huntington, NY
National Provider Identifier
1437215522
Registry record updated Nov 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
002581-1 Issued in NY
Practice address
214 Wall St
Huntington, NY 11743-7804
Phone
(631) 662-6799
Fax
(631) 421-4540
NPI assigned
Dec 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2009

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 002581-1 NY Primary

Addresses

Primary practice location

214 Wall St
Huntington, NY 11743-7804

Mailing address

41 Westfield Dr
Centerport, NY 11721-1547
Phone (631) 662-6799

Other identifiers 3

IdentifierTypeStateIssuer
463843POtherNYHIP/EMBLEM
4599867OtherNYAETNA
Q74171OtherNYEMPIRE BLUE CROSS BLUE SHIELD

Other names 1

  • Agnes. Winifred Schulze Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080326000448 NY Practitioner - Occupational Therapist in Private Practice 6608966544 Practice locations: Huntington, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002581-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
FK Speech Language Patholgosy Services Past Accepting new patients
O'Connell, Selig&Associates L.L.P Past Accepting new patients
FK Speech Language Pathology Services Past Accepting new patients
Oconnell Selig & Associates LLP PastSince Oct 1, 2003 Accepting new patients

Organizations & group practices 4

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": "1167523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258588800000",
    "number": "1437215522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 WESTFIELD DR",
            "city": "CENTERPORT",
            "state": "NY",
            "postal_code": "117211547",
            "telephone_number": "631-662-6799",
            "fax_number": "631-421-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 WALL ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117437804",
            "telephone_number": "631-662-6799",
            "fax_number": "631-421-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULZE",
        "first_name": "AGNES",
        "middle_name": "WINIFRED",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-31",
        "last_updated": "2009-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "002581-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP/EMBLEM",
            "identifier": "463843P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4599867",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS BLUE SHIELD",
            "identifier": "Q74171",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AGNES.",
            "last_name": "SCHULZE",
            "middle_name": "WINIFRED",
            "credential": "OTR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.