Active NPI
Mariah Nicole Schwab, OTR/L
- Occupational Therapist
- Bend, OR
National Provider Identifier
1760950513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 409527
- Practice address
- 60575 Billadeau Rd
Bend, OR 97702-9338 - Phone
- (541) 389-1848
- NPI assigned
- Nov 9, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 409527 | OR | Primary |
Addresses
Primary practice location
60575 Billadeau Rd
Bend, OR 97702-9338
Mailing address
20719 Boulderfield Ave
Bend, OR 97701-7327
Phone (208) 717-7293
Other practice location 1
2125 NE Daggett Ln
Bend, OR 97701-6560
Phone (541) 389-1848
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
| License | State | Type | Specialty |
|---|---|---|---|
| 409527 | OR | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Treehouse Therapies | Occupational Therapist | 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": "1541721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541721600000",
"number": "1760950513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20719 BOULDERFIELD AVE",
"city": "BEND",
"state": "OR",
"postal_code": "977017327",
"telephone_number": "208-717-7293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60575 BILLADEAU RD",
"city": "BEND",
"state": "OR",
"postal_code": "977029338",
"telephone_number": "541-389-1848"
}
],
"practiceLocations": [
{
"address_1": "2125 NE Daggett Ln",
"address_purpose": "LOCATION",
"city": "Bend",
"state": "OR",
"postal_code": "977016560",
"country_code": "US",
"telephone_number": "541-389-1848",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHWAB",
"first_name": "MARIAH",
"middle_name": "NICOLE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-09",
"last_updated": "2018-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OR",
"license": "409527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.