Katie M Schroeder, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2012004502 Issued in MO

Practice address

3032 Broadway St
Quincy, IL 62301-3708

Phone

(217) 222-6800

NPI assigned

Dec 22, 2011

Last updated

Jan 16, 2017By the provider in NPPES

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

Other names 1

• Katie M Rupp Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advance Physical Therapy & Sports Medicine LLC

  • Physical Therapist
  • Quincy, IL
  • NPI 1972513968
  NPD (past)
• Advance Physical Therapy & Sports Medicine of Adams County LLC

  • Physical Therapy Clinic/Center
  • Quincy, IL
  • NPI 1073882304
  NPD (past)
• BDM Associates LLC

  dba Peak Performance Physical Therapy & Sports Medicine

  • Physical Therapist
  • Columbia, MO
  • NPI 1801847033
  NPD (past)

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484524800000",
    "number": "1003185976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3032 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623013708",
            "telephone_number": "217-222-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3032 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623013708",
            "telephone_number": "217-222-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "KATIE",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-22",
        "last_updated": "2017-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2012004502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "RUPP",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Daniel E Schneider, M.D.
• Margaret Schneider, DPT
• Michael Joseph Schneider, PH.D.
• Robert Scholz, D.D.S.
• Chassidy Mae Schroder, FNP
• Alexis Marie Schultz, CRNA
• Diane I Schultz, LCSW
• Eric E. Schultz, LCSW
• Rex Schulz, M.D.
• Scarlett Maria Schulz, LCPC, NCC

• Physical Therapist in Quincy, IL
• Providers in Quincy, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.