Angie Schreck, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2001010040 Issued in MO

Practice address

8880 NE 82ND Ter
Kansas City, MO 64158-1313

Phone

(816) 437-8122

Fax

(816) 407-9609

NPI assigned

Apr 20, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Angie R. Juul Former name

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Saint Lukes Neighborhood Clinics LLCGroup PAC ID 8224348529, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Saint Luke'S Neighborhood Clinics, LLC

  • Physical Therapy Clinic/Center
  • Platte City, MO
  • NPI 1770086266

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Watson Clinic LLP

  • Internal Medicine Physician
  • Lakeland, FL
  • NPI 1316940695
  NPD
• Saint Luke'S Neighborhood Clinics, LLC

  • Diagnostic Radiology Physician
  • Overland Park, KS
  • NPI 1346783008
  NPD (past)

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492646400000",
    "number": "1982138574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8880 NE 82ND TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641581313",
            "telephone_number": "816-437-8122",
            "fax_number": "816-407-9609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8880 NE 82ND TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641581313",
            "telephone_number": "816-437-8122",
            "fax_number": "816-407-9609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRECK",
        "first_name": "ANGIE",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-20",
        "last_updated": "2017-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2001010040",
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "MO",
            "license": "2001010040",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGIE",
            "last_name": "JUUL",
            "middle_name": "R.",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nolan William Schrader
• Samuel John Schrader
• Caleb C Schraeder, RN
• Andrew Marvin Schramm, PHARM.D.
• Alexandra Schray, MD
• Brett Andrew Schreiber, DPT
• Autymn Schreiner, PA
• Robert D Schremmer, M.D.
• Randall James Schrenk, DNP, APRN, CPNP-AC
• Ryan Philip Schrick, PTA

• Occupational Therapist in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; 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.