Active NPI
Jennifer Lane Schroeder, OTR
- Occupational Therapist
- Longview, TX
National Provider Identifier
1891710208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 110330
- Practice address
- 822 N 4TH St
Longview, TX 75601-5433 - Phone
- (903) 753-8499
- Fax
- (903) 753-8502
- NPI assigned
- Jul 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 110330 | TX | Primary |
Addresses
Primary practice location
822 N 4TH St
Longview, TX 75601-5433
Mailing address
2107 Pine Tree Rd
Longview, TX 75604-1625
Phone (903) 753-8499
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 |
|---|---|---|---|
| 110330 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891710208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2107 PINE TREE RD",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756041625",
"telephone_number": "903-753-8499",
"fax_number": "903-753-8502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "822 N 4TH ST",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756015433",
"telephone_number": "903-753-8499",
"fax_number": "903-753-8502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHROEDER",
"first_name": "JENNIFER",
"middle_name": "LANE",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "110330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Longview, TX
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.