Nicole Marie Struck, OT, MOT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

106849 Issued in MN

Practice address

3852 Creamery Rd
De Pere, WI 54115-9210

Phone

(920) 338-9670

Fax

(920) 338-9680

NPI assigned

Feb 7, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Nicole Marie Schade Former name

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Andrews Physical Therapy SCGroup PAC ID 5092765214, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.38 of 100Reported as group

Quality

99.62

Promoting interoperability

100

Improvement activities

40

Cost

74.99

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Andrews Physical Therapy, SC

  dba Inspirit Therapy Associates

  • Physical Therapist
  • De Pere, WI
  • NPI 1487667192
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1517961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1447759121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 1ST ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559050001",
            "telephone_number": "920-505-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3852 CREAMERY RD",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541159210",
            "telephone_number": "920-338-9670",
            "fax_number": "920-338-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRUCK",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "OT, MOT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-07",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "106849",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "325644",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "SCHADE",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Scott M Stillwell, M.D.
• Amy Stirk
• Cole Joseph Stockheimer, DDS
• Kaitlyn Rikke Stollberg
• Nicole A Stotzheim, BCBA
• STS of Green Bay Inc (Visiting Angels NEWI)
• Patrick J Stumbras, PSYD
• Kjirsten Marie Stumbris, DPT
• Haille R Stumpner, LPC
• Jerry Sulewski, PHARMD

• Occupational Therapist in De Pere, WI
• Providers in De Pere, WI by specialty
• Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; 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.