Individual provider Active NPI

Gregory Preston Schroeder, PT, DPT, OCS

  • Physical Therapist
  • Layton, UT
National Provider Identifier
1053362152
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6538047-2401 Issued in UT
Practice address
1550 N Main St
Suite C
Layton, UT 84041-1757
Phone
(801) 217-3755
Fax
(801) 217-3180
NPI assigned
May 13, 2006
Last updated
Oct 15, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070-12174 IL
Physical Therapist 225100000X 2005014046 MO
Physical Therapist 225100000X 6538047-2401 UT Primary

Addresses

Primary practice location

1550 N Main St
Suite C
Layton, UT 84041-1757

Mailing address

1550 N Main St
Suite C
Layton, UT 84041-1757
Phone (801) 217-3755

Other identifiers 3

IdentifierTypeStateIssuer
070-012174OtherILLICENSE
2005014046OtherMOPT LICENSE NO.
6538047-2401OtherUTPT LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080515000716 UT Practitioner - Physical Therapist in Private Practice 8022069632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Back at Work of Utah LLCGroup PAC ID 9830517341, 17 clinicians

Practice addresses (Care Compare)

630 E 1400
Suite 140
Logan, UT 84341-2549
Phone (435) 213-3850

Merit-based Incentive Payment System (MIPS)

Final score
84.72 of 100Reported as group
Quality
86.53
Improvement activities
40
Cost
67.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070-12174ILMDPhysical Therapist
2005014046MOMDPhysical Therapist
6538047-2401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Back at Work of Utah LLC Physical Therapist CurrentSince Oct 1, 2020 Accepting new patients
Rehab Innovations LLC Past Accepting new patients
Teamworks Therapy LLC PastSince Mar 1, 2010 Accepting new patients
Work Injury Solutions Inc. Past Accepting new patients
Therapeak, Inc. Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

772 E 700 S
Ste 3
Clearfield, UT 84015
Phone (801) 217-3755

630 E 1400 N
Ste 140
Logan, UT 84341
Phone (435) 213-3850

460 N Redwood Rd
Unit D
North Salt Lake, UT 84054
Phone (385) 295-9600

472 N 2000 W
Ste 2A
Pleasant Grove, UT 84062
Phone (385) 342-5505

1738 W 2700 N
Ste 102
Pleasant View, UT 84404
Phone (801) 436-5133

805 W Main St
Ste C
Tremonton, UT 84337
Phone (435) 257-0106

773 E Mill Rd
Ste D
Vineyard, UT 84059
Phone (385) 412-1117

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350259200000",
    "number": "1053362152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 N MAIN ST",
            "address_2": "SUITE C",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411757",
            "telephone_number": "801-217-3755",
            "fax_number": "801-217-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 N MAIN ST",
            "address_2": "SUITE C",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411757",
            "telephone_number": "801-217-3755",
            "fax_number": "801-217-3180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "GREGORY",
        "middle_name": "PRESTON",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-13",
        "last_updated": "2012-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-12174",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2005014046",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "6538047-2401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "070-012174",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE NO.",
            "identifier": "2005014046",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "6538047-2401",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Layton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.