Individual provider Active NPI

Mariah Nicole Schwab, OTR/L

  • Occupational Therapist
  • Bend, OR
National Provider Identifier
1760950513
Registry record updated Nov 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
409527 Issued in OR
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

Updated by the provider on Nov 9, 2018

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 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

LicenseStateTypeSpecialty
409527ORMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

Verify at the official NPI Registry.