Individual provider Active NPI

Steven P Schwabauer, OTR

  • Occupational Therapist
  • Fort Gratiot, MI
National Provider Identifier
1982717906
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201004594 Issued in MI
Practice address
3847 Pine Grove Ave Ste a
Fort Gratiot, MI 48059-4265
Phone
(810) 982-3261
Fax
(810) 982-2225
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5201004594 MI Primary

Addresses

Primary practice location

3847 Pine Grove Ave Ste a
Fort Gratiot, MI 48059-4265

Mailing address

51941 Fox Pointe Dr
New Baltimore, MI 48047-1160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041124000188 MI Practitioner - Occupational Therapist in Private Practice 9830154368 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
St Clair County Community Mental Health Authority CurrentSince Jul 27, 2019 Accepting new patients
St Clair County Community Mental Health Authority CurrentSince Jul 27, 2019 Accepting new patients

Locations

3847 Pine Grove Ave
Ste A
Fort Gratiot, MI 48059
Phone (810) 984-2250

3111 Electric Ave
Port Huron, MI 48060
Phone (810) 985-4747

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982717906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51941 FOX POINTE DR",
            "city": "NEW BALTIMORE",
            "state": "MI",
            "postal_code": "480471160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3847 PINE GROVE AVE STE A",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "480594265",
            "telephone_number": "810-982-3261",
            "fax_number": "810-982-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWABAUER",
        "first_name": "STEVEN",
        "middle_name": "P",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201004594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Gratiot, MI

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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.