Active NPI
Agnes Winifred Schulze, OTR
- Occupational Therapist
- Huntington, NY
National Provider Identifier
1437215522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 002581-1
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 463843P | Other | NY | HIP/EMBLEM |
| 4599867 | Other | NY | AETNA |
| Q74171 | Other | NY | EMPIRE BLUE CROSS BLUE SHIELD |
Other names 1
- Agnes. Winifred Schulze
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 002581-1 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New 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 | Past | 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.
-
- Early Intervention Provider Agency
- Huntington, NY
- NPI 1932343795
-
- Early Intervention Provider Agency
- Huntington, NY
- NPI 1356651822
-
- Early Intervention Provider Agency
- Huntington, NY
- NPI 1386999720
-
- Physical Therapist
- Huntington, NY
- NPI 1376757161
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.