Individual provider Active NPI

Susan Schrader, OTR, OTL

  • Occupational Therapist
  • Cavalier, ND
National Provider Identifier
1871714816
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
137 Issued in ND
Practice address
106B Division Avenue North
Cavalier, ND 58220
Phone
(701) 265-8080
Fax
(701) 265-8082
NPI assigned
May 1, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 137 ND Primary

Addresses

Primary practice location

106B Division Avenue North
Cavalier, ND 58220

Mailing address

1214 12TH St
Langdon, ND 58249-2011

Other identifiers 3

IdentifierTypeStateIssuer
58573MedicaidND
137OtherNDNDSBOT
AA098590OtherNDNBCOT

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
137NDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pembina Special Education Cooperative 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, 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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871714816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 12TH ST",
            "city": "LANGDON",
            "state": "ND",
            "postal_code": "582492011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106B DIVISION AVENUE NORTH",
            "city": "CAVALIER",
            "state": "ND",
            "postal_code": "58220",
            "telephone_number": "701-265-8080",
            "fax_number": "701-265-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRADER",
        "first_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "OTR, OTL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ND",
            "license": "137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "58573",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NDSBOT",
            "identifier": "137",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NBCOT",
            "identifier": "AA098590",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cavalier, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.