Active NPI
Trisha Schulte
- Occupational Therapist
- Springfield, IL
National Provider Identifier
1669997383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2017027754
- Practice address
- 400 N 9TH St
Springfield, IL 62702-5310 - Phone
- (217) 544-6464
- Fax
- (217) 757-6545
- NPI assigned
- Aug 3, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056.013102 | IL | |
| Occupational Therapist | 225X00000X | 2017027754 | MO | Primary |
Addresses
Primary practice location
400 N 9TH St
Springfield, IL 62702-5310
Mailing address
3023 S Fort Ave Ste B
Springfield, MO 65807-4217
Phone (417) 890-4656
Other practice location 1
3023 S Fort Ave Ste B
Springfield, MO 65807-4217
Phone (417) 890-4656
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 056.013102 | Other | IL | STATE LICENSE |
| 2017027754 | Other | MO | STATE LICENSE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056.013102 | IL | MD | Occupational Therapist |
| 2017027754 | MO | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1669997383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3023 S FORT AVE STE B",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658074217",
"telephone_number": "417-890-4656",
"fax_number": "417-708-0889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N 9TH ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627025310",
"telephone_number": "217-544-6464",
"fax_number": "217-757-6545"
}
],
"practiceLocations": [
{
"address_1": "3023 S Fort Ave Ste B",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MO",
"postal_code": "658074217",
"country_code": "US",
"telephone_number": "417-890-4656",
"fax_number": "417-708-0889",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHULTE",
"first_name": "TRISHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-03",
"last_updated": "2022-07-21",
"certification_date": "2020-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056.013102",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "2017027754",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "056.013102",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "2017027754",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.