Active NPI
Randall B. Schlosser, P.T.
- Physical Therapist
- Conneaut Lake, PA
National Provider Identifier
1013944420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT006582L
- Practice address
- 11018 State Hwy 18
Suite 3
Conneaut Lake, PA 16316-3556 - Phone
- (814) 382-6570
- Fax
- (814) 382-6569
- NPI assigned
- Jun 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT006582L | PA | Primary |
Addresses
Primary practice location
11018 State Hwy 18
Suite 3
Conneaut Lake, PA 16316-3556
Mailing address
11018 State Hwy 18
Suite 3
Conneaut Lake, PA 16316-3556
Phone (814) 382-6570
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT006582L | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013944420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11018 STATE HWY 18",
"address_2": "SUITE 3",
"city": "CONNEAUT LAKE",
"state": "PA",
"postal_code": "163163556",
"telephone_number": "814-382-6570",
"fax_number": "814-382-6569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11018 STATE HWY 18",
"address_2": "SUITE 3",
"city": "CONNEAUT LAKE",
"state": "PA",
"postal_code": "163163556",
"telephone_number": "814-382-6570",
"fax_number": "814-382-6569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHLOSSER",
"first_name": "RANDALL",
"middle_name": "B.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT006582L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conneaut Lake, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.