MEDICARE: ELIZABETH SCHIPPEL OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	OT010145	OH

General Provider Information

NPI Number	:	1720840234
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH SCHIPPEL OTR/L

Provider Business Mailing Address
First Line	:	7608 STATE ROUTE 101 E APT A
Second Line	:
City	:	CASTALIA
State	:	OH
Zip	:	44824-9617
Country	:	US
Telephone Number	:	419-202-1139
Fax Number	:

Provider Business Practice Location Address
First Line	:	5000 PROVIDENCE DR
Second Line	:
City	:	SANDUSKY
State	:	OH
Zip	:	44870-1410
Country	:	US
Telephone Number	:	419-843-6002
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2024
Last Update Date	:	12/02/2025

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