Nichole Marie Schroeder, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

17-02546 Issued in KS

Practice address

86 22ND Ave
Moundridge, KS 67107-7003

Phone

(620) 345-2901

NPI assigned

Jun 23, 2009

Last updated

Jun 23, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245715200000",
    "number": "1568690097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 BLAKE AVE",
            "city": "MOUNDRIDGE",
            "state": "KS",
            "postal_code": "671077513",
            "telephone_number": "620-747-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 22ND AVE",
            "city": "MOUNDRIDGE",
            "state": "KS",
            "postal_code": "671077003",
            "telephone_number": "620-345-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "NICHOLE",
        "middle_name": "MARIE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-23",
        "last_updated": "2009-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": "17-02546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leland L Porter, D.C.
• Michelle M Porter, OTR
• James D Ratzlaff, M.D.
• Revive Therapy and Performance, LLC (Revive Therapy and Performance)
• Ashley Dyan Roberts, PT, DPT
• Gaven Schumann
• Michele Miller Sharp, P.A.
• Cindy Lee Stucky, PTA
• Karen L Stucky, CPTA
• Marla R Ullom-Minnich, M.D.

• Occupational Therapist in Moundridge, KS
• Providers in Moundridge, KS by specialty
• Occupational Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.