Mandie Schake, MOTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT.0004417 Issued in CO

Practice address

4401 Union St
Johnstown, CO 80534-2800

Phone

(970) 619-3400

NPI assigned

Dec 30, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Colorado in Motion LLCGroup PAC ID 9931515483, 41 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Colorado in Motion LLC

  • Physical Therapy Clinic/Center
  • Fort Collins, CO
  • NPI 1487243044
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1514592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514592000000",
    "number": "1992212815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 W DOGWOOD ST",
            "city": "MILLIKEN",
            "state": "CO",
            "postal_code": "805438052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 UNION ST",
            "city": "JOHNSTOWN",
            "state": "CO",
            "postal_code": "805342800",
            "telephone_number": "970-619-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAKE",
        "first_name": "MANDIE",
        "credential": "MOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-30",
        "last_updated": "2017-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0004417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercedes Sue Safarpour, NP
• Scott John Samuelson, MD
• Brechen Santeramo, MT-BC
• SBH - North Denver
• SBH - North Denver
• Grant Elliot Schaneman, O.D.
• Ashley Schmieg, DO
• Adam John Schneemann, DDS
• Angela Serrano, FNP
• Audra Victoria Sherman, PA-C

• Occupational Therapist in Johnstown, CO
• Providers in Johnstown, CO by specialty
• Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.