Individual provider Active NPI

Nicholas David Schulz, OTR/L

  • Occupational Therapist
  • West Fargo, ND
National Provider Identifier
1891274890
Registry record updated Jan 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1796 Issued in ND
Practice address
5514 Lori LN W
West Fargo, ND 58078-8557
Phone
(218) 252-2628
NPI assigned
Aug 9, 2018
Last updated
Jan 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20230710002896 ND Practitioner - Occupational Therapist in Private Practice 7214396159 Reassigns benefits to 3 organizations

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

LicenseStateTypeSpecialty
1796NDMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alt Medical Gear LLC Current Accepting new patients
Integrated Intervention Specialists, LLC CurrentSince May 1, 2023 Accepting new patients
Aim Therapy PLLC Occupational Therapist CurrentSince May 8, 2023 Accepting new patients
Adaptive Life Therapy Occupational Therapist CurrentSince Jan 1, 2024 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.

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.

Verify at the official NPI Registry.