Active NPI
Susan Michelle Schultz, OTR/L
- Occupational Therapist
- West Lakeland, MN
National Provider Identifier
1821361544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 102094
- Practice address
- 1551 Olene Ave N
West Lakeland, MN 55082-1835 - Phone
- (651) 387-1257
- NPI assigned
- Feb 10, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 102094 | MN | Primary |
| Occupational Therapist | 225X00000X | 3251026 | WI |
Addresses
Primary practice location
1551 Olene Ave N
West Lakeland, MN 55082-1835
Mailing address
1551 Olene Ave N
West Lakeland, MN 55082-1835
Phone (651) 387-1257
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102094 | MN | MD | Occupational Therapist |
| 3251026 | WI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328832000000",
"number": "1821361544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1551 OLENE AVE N",
"city": "WEST LAKELAND",
"state": "MN",
"postal_code": "550821835",
"telephone_number": "651-387-1257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1551 OLENE AVE N",
"city": "WEST LAKELAND",
"state": "MN",
"postal_code": "550821835",
"telephone_number": "651-387-1257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULTZ",
"first_name": "SUSAN",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-10",
"last_updated": "2012-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "102094",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "3251026",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Lakeland, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.