Healthcare Provider Details

I. General information

NPI: 1780941187
Provider Name (Legal Business Name): JAMES J SCHAEFER OTR, CHT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2012
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 S OAKWOOD RD
OSHKOSH WI
54904-7900
US

IV. Provider business mailing address

2105 E ENTERPRISE AVE STE 113
APPLETON WI
54913-7862
US

V. Phone/Fax

Practice location:
  • Phone: 920-305-7910
  • Fax: 920-305-7910
Mailing address:
  • Phone: 920-991-2561
  • Fax: 920-991-2563

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number2352
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: