Individual provider Active NPI

Michael Ryan Schlauch, COTA

  • Occupational Therapy Assistant
  • Freehold, NJ
National Provider Identifier
1740724715
Registry record updated Dec 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
46TA09131400 Issued in NJ
Practice address
1 Applewood Dr
Freehold, NJ 07728-3985
Phone
(732) 303-7416
NPI assigned
Dec 11, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 46TA09131400 NJ Primary

Addresses

Primary practice location

1 Applewood Dr
Freehold, NJ 07728-3985

Mailing address

181 W Millstream Rd
Cream Ridge, NJ 08514-2315
Phone (609) 752-5530

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
46TA09131400NJMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1481414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481414400000",
    "number": "1740724715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 W MILLSTREAM RD",
            "city": "CREAM RIDGE",
            "state": "NJ",
            "postal_code": "085142315",
            "telephone_number": "609-752-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 APPLEWOOD DR",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077283985",
            "telephone_number": "732-303-7416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLAUCH",
        "first_name": "MICHAEL",
        "middle_name": "RYAN",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-11",
        "last_updated": "2016-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NJ",
            "license": "46TA09131400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2016; 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.