Terra Nicole Schnarre

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160004480 Issued in IL

Practice address

1919 E 1475 Ave
Brownstown, IL 62418-4444

Phone

(618) 322-3646

NPI assigned

Apr 3, 2021

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 3, 2021.

{
    "created_epoch": "1617408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617408000000",
    "number": "1003495599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 E 1475 AVE",
            "city": "BROWNSTOWN",
            "state": "IL",
            "postal_code": "624184444",
            "telephone_number": "618-322-3646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 E 1475 AVE",
            "city": "BROWNSTOWN",
            "state": "IL",
            "postal_code": "624184444",
            "telephone_number": "618-322-3646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNARRE",
        "first_name": "TERRA",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-03",
        "last_updated": "2021-04-03",
        "certification_date": "2021-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160004480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brownstown Cusd 201
• Cynthia Fedrigon
• Rhonda Howard
• Bonnie Shelton, MS, SLP, CCC-L
• Haley Willson, RN, BSN, IBCLC

• All providers in Brownstown, IL
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2021; 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.