Brian Schaudt, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

64491 Issued in OR

Practice address

712 Jay St
Fossil, OR 97830-8371

Phone

(541) 763-2725

Fax

(541) 763-2850

NPI assigned

May 20, 2022

Last updated

May 20, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

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.

• Asher Community Health Center

  dba Asher Clinic

  • Federally Qualified Health Center (FQHC)
  • Fossil, OR
  • NPI 1811937485
  Medicare reassignment NPD
• Asher Community Health Center

  • Primary Care Clinic/Center
  • Fossil, OR
  • NPI 1033989439
  NPD
• Asher Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Fossil, OR
  • NPI 1063675569
  NPD

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1053059006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 JAY ST",
            "city": "FOSSIL",
            "state": "OR",
            "postal_code": "978308371",
            "telephone_number": "541-763-2725",
            "fax_number": "541-763-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 JAY ST",
            "city": "FOSSIL",
            "state": "OR",
            "postal_code": "978308371",
            "telephone_number": "541-763-2725",
            "fax_number": "541-763-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAUDT",
        "first_name": "BRIAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "64491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makaila Samonne-Hunt Palazo, PA-C
• Maryhelen I Peterson, QMHP
• Andrew Christopher Pham, DMD
• Janet Leee Ridgley, WHCNP/FNP
• Amanda Ann Roy, PA-C
• Debra Ruth Stubblefield, RN BSN
• Wheeler County Public Health

• Physical Therapist in Fossil, OR
• Providers in Fossil, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.