Individual provider Active NPI

Jamie L Schindlbeck, OT

  • Occupational Therapist
  • Chubbuck, ID
National Provider Identifier
1710078175
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT-968 Issued in ID
Practice address
4990 Valenty Rd
Ste G
Chubbuck, ID 83202-5353
Phone
(952) 237-0386
Fax
(208) 203-1836
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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 OT-968 ID Primary

Addresses

Primary practice location

4990 Valenty Rd
Ste G
Chubbuck, ID 83202-5353

Mailing address

4990 Valenty Rd
Ste G
Chubbuck, ID 83202-5353
Phone (952) 237-0386

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180620002750 ID Practitioner - Occupational Therapist in Private Practice 9133199615

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4059WIMDClinical Psychologist
OT-968IDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aagesen Chiropractic Clinic PA Occupational Therapist Past Accepting new patients

Organizations & group practices 2

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1710078175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4990 VALENTY RD",
            "address_2": "STE G",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832025353",
            "telephone_number": "952-237-0386",
            "fax_number": "208-203-1836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4990 VALENTY RD",
            "address_2": "STE G",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832025353",
            "telephone_number": "952-237-0386",
            "fax_number": "208-203-1836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHINDLBECK",
        "first_name": "JAMIE",
        "middle_name": "L",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ID",
            "license": "OT-968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chubbuck, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.