Active NPI
Gregory Preston Schroeder, PT, DPT, OCS
- Physical Therapist
- Layton, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6538047-2401
- 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, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070-012174 | Other | IL | LICENSE |
| 2005014046 | Other | MO | PT LICENSE NO. |
| 6538047-2401 | Other | UT | PT LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
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
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 100
- Quality
- 86.53
- Improvement activities
- 40
- Cost
- 67.04
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070-12174 | IL | MD | Physical Therapist |
| 2005014046 | MO | MD | Physical Therapist |
| 6538047-2401 | UT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back at Work of Utah LLC | Physical Therapist | Current | Accepting new patients |
| Rehab Innovations LLC | Past | Accepting new patients | |
| Teamworks Therapy LLC | Past | 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.
-
- Physical Therapist
- Clearfield, UT
- NPI 1902423049
-
- Occupational Therapist
- Logan, UT
- NPI 1023155322
-
- Geriatric Physical Therapist
- Salt Lake City, UT
- NPI 1972713329
-
dba Back@Work Physical Therapy
- Orthopedic Physical Therapist
- Logan, UT
- NPI 1902220239
-
- Rehabilitation Clinic/Center
- Carbondale, IL
- NPI 1023023579
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.