Individual provider Active NPI

Bryce P Schuster, PT

  • Physical Therapist
  • Vancouver, WA
National Provider Identifier
1003128653
Registry record updated Jul 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6282 Issued in OR
Practice address
805 Broadway St
Vancouver, WA 98660-3213
Phone
(360) 823-0138
Fax
(360) 823-0141
NPI assigned
Jul 12, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6282 OR Primary

Addresses

Primary practice location

805 Broadway St
Vancouver, WA 98660-3213

Mailing address

3831 SE Franklin St
Portland, OR 97202-1736
Phone (503) 250-3768

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101015001211 WA Practitioner - Physical Therapist in Private Practice 7416140926 Reassigns benefits to 1 organization
I20191014001117 OR Practitioner - Physical Therapist in Private Practice 7416140926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Proactive LLCGroup PAC ID 7315218708, 53 clinicians

Practice addresses (Care Compare)

100 E 33Rd St
Suite 204
Vancouver, WA 98663-2776
Phone (360) 823-0138

1307 NE 102ND Ave
Suite T 1
Portland, OR 97220-3980
Phone (971) 270-0913

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6282ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New Proactive LLC Physical Therapist CurrentSince May 1, 2017 Accepting new patients

Locations

1480 NE Village St
Fairview, OR 97024
Phone (503) 489-1174

1630 Beavercreek Rd
Ste A
Oregon City, OR 97045
Phone (503) 607-0047

1307 NE 102nd Ave
Ste T1
Portland, OR 97220
Phone (971) 270-0913

100 E 33rd St
Ste 206B
Vancouver, WA 98663
Phone (360) 823-0138

100 E 33rd St
Ste 204
Vancouver, WA 98663
Phone (360) 823-0138

2621 NE 134th St
Ste 310
Vancouver, WA 98686
Phone (360) 859-3346

Organizations & group practices 1

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": "1278892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278892800000",
    "number": "1003128653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3831 SE FRANKLIN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021736",
            "telephone_number": "503-250-3768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 BROADWAY ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603213",
            "telephone_number": "360-823-0138",
            "fax_number": "360-823-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUSTER",
        "first_name": "BRYCE",
        "middle_name": "P",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-12",
        "last_updated": "2010-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "6282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; 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.