Organization Active NPI

Independent Therapy Services, Inc

  • Occupational Therapist
  • Wells, MN
National Provider Identifier
1699855478
Registry record updated Jul 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
100906 Issued in MN
Legal business name
INDEPENDENT THERAPY SERVICES, INC
Practice address
150 3Rd St NW
Wells, MN 56097
Phone
(507) 553-6645
Fax
(507) 553-6640
NPI assigned
Oct 16, 2006
Last updated
Jul 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2014

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

Authorized official

Name
Mrs. Cathi Ann Schirmer, OTRLNPI 1255527511
Title
Owner President
Phone
(507) 553-6645

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 100906 MN Primary

Addresses

Primary practice location

150 3Rd St NW
Wells, MN 56097

Mailing address

20069 520TH Ave
Minnesota Lake, MN 56068
Phone (507) 553-6645

Other identifiers 2

IdentifierTypeStateIssuer
18623SCOtherMNBCBS
714258700MedicaidMN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031120000563 MN Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4183528334 Receives reassigned benefits from 1 practitioner
Practice locations: Wells, MN

National Provider Directory

National Provider Directory

Locations

301 Troendle St SW
Mapleton, MN 56065
Phone (507) 524-3315

147 S Broadway
Wells, MN 56097
Phone (507) 553-6645

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405468800000",
    "number": "1699855478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20069 520TH AVE",
            "city": "MINNESOTA LAKE",
            "state": "MN",
            "postal_code": "56068",
            "telephone_number": "507-553-6645",
            "fax_number": "507-553-6640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 3RD ST NW",
            "city": "WELLS",
            "state": "MN",
            "postal_code": "56097",
            "telephone_number": "507-553-6645",
            "fax_number": "507-553-6640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT THERAPY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2014-07-16",
        "status": "A",
        "authorized_official_last_name": "SCHIRMER",
        "authorized_official_first_name": "CATHI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "507-553-6645",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTRL"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "100906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "18623SC",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "714258700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wells, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.