Active NPI
Rachel Schutz
- Gerontology Occupational Therapist
- Beloit, WI
National Provider Identifier
1952671604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Occupational Therapist
- License
- 5104-26
- Practice address
- 1905 W Hart Rd
Beloit, WI 53511-2230 - Phone
- (608) 365-7500
- NPI assigned
- Jan 11, 2012
- 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 |
|---|---|---|---|---|
| Gerontology Occupational Therapist | 225XG0600X | 5104-26 | WI | Primary |
Addresses
Primary practice location
1905 W Hart Rd
Beloit, WI 53511-2230
Mailing address
1905 W Hart Rd
Beloit, WI 53511-2230
Phone (608) 365-7500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356413017 | Medicaid | WI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5104-26 | WI | MD | Gerontology Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326240000000",
"number": "1952671604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1905 W HART RD",
"city": "BELOIT",
"state": "WI",
"postal_code": "535112230",
"telephone_number": "608-365-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1905 W HART RD",
"city": "BELOIT",
"state": "WI",
"postal_code": "535112230",
"telephone_number": "608-365-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHUTZ",
"first_name": "RACHEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-11",
"last_updated": "2012-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "225XG0600X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Gerontology",
"state": "WI",
"license": "5104-26",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1356413017",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Beloit, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.