Active NPI
Lisa D Schneider, PT
- Physical Therapist
- Everett, WA
National Provider Identifier
1063615953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 00003569
- Practice address
- 3726 Broadway
#104
Everett, WA 98201-3787 - Phone
- (425) 252-4600
- Fax
- (425) 252-4477
- NPI assigned
- Jun 7, 2007
- Sex
- Female
- 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 | 00003569 | WA | Primary |
Addresses
Primary practice location
3726 Broadway
#104
Everett, WA 98201-3787
Mailing address
10505 19TH Ave SE
Suite B
Everett, WA 98208-4280
Phone (408) 570-0510
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1001668 | Medicaid | WA | |
| G8914014 | Other | WA | MEDICARE PIN/ CASCADE REHABILITATION ASSOCIATES, LLC |
| G8914015 | Other | WA | MEDICARE PIN/ SUMMIT REHABILITATION |
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 |
|---|---|---|---|
| 00003569 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physiotherapy Associates, Inc | Past | Accepting new patients | |
| Flex Physical Therapy | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Bothell, WA
- NPI 1679574479
-
- Physical Therapy Clinic/Center
- Olympia, WA
- NPI 1689319154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363132800000",
"number": "1063615953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10505 19TH AVE SE",
"address_2": "SUITE B",
"city": "EVERETT",
"state": "WA",
"postal_code": "982084280",
"telephone_number": "408-570-0510",
"fax_number": "408-945-4018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3726 BROADWAY",
"address_2": "#104",
"city": "EVERETT",
"state": "WA",
"postal_code": "982013787",
"telephone_number": "425-252-4600",
"fax_number": "425-252-4477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHNEIDER",
"first_name": "LISA",
"middle_name": "D",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-07",
"last_updated": "2013-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "00003569",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1001668",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN/ CASCADE REHABILITATION ASSOCIATES, LLC",
"identifier": "G8914014",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN/ SUMMIT REHABILITATION",
"identifier": "G8914015",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.