Active NPI
Nicholas David Schulz, OTR/L
- Occupational Therapist
- West Fargo, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1796
- Practice address
- 5514 Lori LN W
West Fargo, ND 58078-8557 - Phone
- (218) 252-2628
- NPI assigned
- Aug 9, 2018
- Last updated
- Jan 14, 2024
- Sex
- Male
- 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 | NU | ||
| Occupational Therapist | 225X00000X | 1796 | ND | Primary |
Addresses
Primary practice location
5514 Lori LN W
West Fargo, ND 58078-8557
Mailing address
5514 Lori LN W
West Fargo, ND 58078-8557
Phone (218) 252-2628
Other practice location 1
4725 Amber Valley Pkwy S Ste B
Fargo, ND 58104-8614
Phone (701) 478-0221
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5514 Lori LN W
West Fargo, ND 58078-8557
Phone (218) 252-2628
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1796 | ND | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alt Medical Gear LLC | Current | Accepting new patients | |
| Integrated Intervention Specialists, LLC | Current | Accepting new patients | |
| Aim Therapy PLLC | Occupational Therapist | Current | Accepting new patients |
| Adaptive Life Therapy | Occupational Therapist | Current | Accepting new patients |
Locations
4215 31st Ave S
Ste A
Fargo, ND 58104
Phone (701) 478-0221
4725 Amber Valley Pkwy S
#B
Fargo, ND 58104
Phone (701) 478-0221
Organizations & group practices 4
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.
-
- Occupational Therapist
- West Fargo, ND
- NPI 1669241592
-
- Occupational Therapist
- Horace, ND
- NPI 1598366882
-
- Community/Behavioral Health Agency
- Fargo, ND
- NPI 1275194136
-
- Durable Medical Equipment & Medical Supplies
- West Fargo, ND
- NPI 1164316436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705190400000",
"number": "1891274890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5514 LORI LN W",
"city": "WEST FARGO",
"state": "ND",
"postal_code": "580788557",
"telephone_number": "218-252-2628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5514 LORI LN W",
"city": "WEST FARGO",
"state": "ND",
"postal_code": "580788557",
"telephone_number": "218-252-2628"
}
],
"practiceLocations": [
{
"address_1": "4725 Amber Valley Pkwy S Ste B",
"address_purpose": "LOCATION",
"city": "Fargo",
"state": "ND",
"postal_code": "581048614",
"country_code": "US",
"telephone_number": "701-478-0221",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHULZ",
"first_name": "NICHOLAS",
"middle_name": "DAVID",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-08-09",
"last_updated": "2024-01-14",
"certification_date": "2024-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ND",
"license": "1796",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.