Provider Demographics
NPI:1891897005
Name:SCHROEDER, ERIN R (OTR/L)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:R
Last Name:SCHROEDER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:R
Other - Last Name:BRINEGAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 3136
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68848-3136
Mailing Address - Country:US
Mailing Address - Phone:308-237-7877
Mailing Address - Fax:308-237-2933
Practice Address - Street 1:4010 6TH AVE
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68845-3393
Practice Address - Country:US
Practice Address - Phone:308-237-7877
Practice Address - Fax:308-237-2933
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1002225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025290100Medicaid
NE1002529011Medicaid