Individual provider Active NPI

Andrea Schaetzle, OTR-L

  • Hand Occupational Therapist
  • Tuscaloosa, AL
National Provider Identifier
1699103135
Registry record updated Oct 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
169 Issued in AL
Practice address
400 Paul W Bryant Dr E
Tuscaloosa, AL 35401-2009
Phone
(205) 345-2627
Fax
(205) 247-2877
NPI assigned
Oct 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 169 AL Primary

Addresses

Primary practice location

400 Paul W Bryant Dr E
Tuscaloosa, AL 35401-2009

Mailing address

400 Paul W Bryant Dr E
Tuscaloosa, AL 35401-2009
Phone (205) 345-2627

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140226000449 AL Practitioner - Occupational Therapist in Private Practice 6103056858

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

400 Paul W Bryant Dr E
Tuscaloosa, AL 35401-2009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Radiology Clinic LLC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1382054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382054400000",
    "number": "1699103135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 PAUL W BRYANT DR E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012009",
            "telephone_number": "205-345-2627",
            "fax_number": "205-247-2877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PAUL W BRYANT DR E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012009",
            "telephone_number": "205-345-2627",
            "fax_number": "205-247-2877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAETZLE",
        "first_name": "ANDREA",
        "name_prefix": "Mrs.",
        "credential": "OTR-L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-18",
        "last_updated": "2013-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "AL",
            "license": "169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2013; 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.