Individual provider Active NPI

Laura Van Schyndel, OTR/L

  • Occupational Therapist
  • Racine, WI
National Provider Identifier
1467745141
Registry record updated Feb 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
1600 Ohio St
Racine, WI 53405-3157
Phone
(262) 995-7291
Fax
(262) 995-7292
NPI assigned
May 27, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OTR2415 AR
Pediatric Occupational Therapist 225XP0200X 5508-26 WI
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

1600 Ohio St
Racine, WI 53405-3157

Mailing address

PO Box 367
Rochester, WI 53167-0367
Phone (262) 995-7291

Other identifiers 1

IdentifierTypeStateIssuer
186296721MedicaidAR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160229001670 WI Practitioner - Occupational Therapist in Private Practice 9133424161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Motion Physical Therapy LLCGroup PAC ID 7214034321, 3 clinicians

Practice addresses (Care Compare)

1600 Ohio St
Racine, WI 53405-3157
Phone (262) 995-7291

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OTR2415ARMDPediatric Occupational Therapist
5508-26WIMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Motion Physical Therapy, LLC CurrentSince Feb 22, 2016 Accepting new patients

Organizations & group practices 1

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": "1306454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455840000000",
    "number": "1467745141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 367",
            "city": "ROCHESTER",
            "state": "WI",
            "postal_code": "531670367",
            "telephone_number": "262-995-7291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 OHIO ST",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534053157",
            "telephone_number": "262-995-7291",
            "fax_number": "262-995-7292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN SCHYNDEL",
        "first_name": "LAURA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-27",
        "last_updated": "2016-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AR",
            "license": "OTR2415",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "WI",
            "license": "5508-26",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186296721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Racine, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; 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.