Ellen Schuster, PTA, ATC

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160.004514 Issued in IL

Practice address

5401 44TH Avenue Dr
Suite 102
Moline, IL 61265-8126

Phone

(309) 779-3490

Fax

(309) 779-5615

NPI assigned

Jul 3, 2014

Last updated

Jul 3, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Trinity Medical Center

  • Emergency Medicine Physician
  • Rock Island, IL
  • NPI 1568414134
  NPD (past)

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

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404345600000",
    "number": "1053727586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 44TH AVENUE DR",
            "address_2": "SUITE 102",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612658126",
            "telephone_number": "309-779-3490",
            "fax_number": "309-779-5615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 44TH AVENUE DR",
            "address_2": "SUITE 102",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612658126",
            "telephone_number": "309-779-3490",
            "fax_number": "309-779-5615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUSTER",
        "first_name": "ELLEN",
        "credential": "PTA, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-03",
        "last_updated": "2014-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160.004514",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "096.000597",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reid M Schroeder, MD
• Gretchen Renae Schroer, DPT
• Mikaela C Schultz, LCSW
• Kimberly K Schulz, MD
• Ashley M Schurr, DPT
• Ashley Schuttloffel
• Mary Evelyn Schwenn, ARNP
• Virginia Ann Schwieder, DC
• James M Scranton, D.C.
• Morgen Scroggins, D.C

• Physical Therapy Assistant in Moline, IL
• Providers in Moline, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; 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.