Individual provider Active NPI

Angela Schoeppach, OTR/L

  • Occupational Therapist
  • Ashland, WI
National Provider Identifier
1578899035
Registry record updated Nov 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
4758-026 Issued in WI
Practice address
422 3Rd St W
Suite 135
Ashland, WI 54806-1553
Phone
(715) 682-0633
Fax
(715) 682-0736
NPI assigned
Oct 19, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2011

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 4758-026 WI Primary

Addresses

Primary practice location

422 3Rd St W
Suite 135
Ashland, WI 54806-1553

Mailing address

422 3Rd St W
Suite 135
Ashland, WI 54806-1553
Phone (715) 682-0633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4758-026WIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Treehouse Therapy, LLC Occupational Therapist Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321488000000",
    "number": "1578899035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 3RD ST W",
            "address_2": "SUITE 135",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "548061553",
            "telephone_number": "715-682-0633",
            "fax_number": "715-682-0736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 3RD ST W",
            "address_2": "SUITE 135",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "548061553",
            "telephone_number": "715-682-0633",
            "fax_number": "715-682-0736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOEPPACH",
        "first_name": "ANGELA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-19",
        "last_updated": "2011-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "4758-026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; 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.