Kyle Christian Schufreider, MS,OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT007905 Issued in GA

Practice address

2450 Atlanta Hwy Ste 701
Cumming, GA 30040-1255

Phone

(404) 834-8404

Fax

(678) 456-3437

NPI assigned

Nov 9, 2020

Last updated

Nov 9, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1912509654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 ATLANTA HWY STE 701",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300401255",
            "telephone_number": "404-834-8404",
            "fax_number": "678-456-3437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 ATLANTA HWY STE 701",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300401255",
            "telephone_number": "404-834-8404",
            "fax_number": "678-456-3437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUFREIDER",
        "first_name": "KYLE",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Mr.",
        "credential": "MS,OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-09",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "GA",
            "license": "OT007905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "kyle@wilestherapyforkids.com",
            "affiliation": "N",
            "endpointDescription": "secure  email.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "medical information",
            "address_1": "2450 Atlanta Hwy Ste 701",
            "city": "Cumming",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300401255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Allyson Gray Schnetzka
• Victoria L Schnipke, PA
• Caroline Suzanne Schodowski, PAC
• Ryan Taylor Schott, PA-C
• Catherine Schueman, MSW
• Beverly Davis Schuler, D.O
• Courtney Rose Schuler, MS, OTR/L
• Sara Schupp
• Joseph Anthony Sciarrino, M.D.
• Natalie Vercillo Sciarrino, M.D.

• Pediatric Occupational Therapist in Cumming, GA
• Providers in Cumming, GA by specialty
• Pediatric Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; 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.