Justin Schober, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00008835 Issued in WA

Practice address

1 Coulee Boulevard West
Electric City, WA 99123

Phone

(509) 633-9915

Fax

(888) 316-6792

NPI assigned

Aug 5, 2008

Last updated

Dec 27, 2012By 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 WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Loma Linda University School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Progressive Rehabilitation Group, Inc.

  dba New Paradigm Physical Therapy

  • Preferred Provider Organization
  • Electric City, WA
  • NPI 1821372293
  Medicare reassignment NPD Authorized official
• Associates in Physical Therapy, PLLC

  • Physical Therapist
  • East Wenatchee, WA
  • NPI 1114012028
  NPD (past)
• Central Washington Physical Therapy

  • Physical Therapist
  • Yakima, WA
  • NPI 1437196771
  NPD (past)

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356566400000",
    "number": "1063678472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E ANSEL AVE",
            "city": "BREWSTER",
            "state": "WA",
            "postal_code": "988129609",
            "telephone_number": "509-429-3355",
            "fax_number": "888-316-6792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COULEE BOULEVARD WEST",
            "city": "ELECTRIC CITY",
            "state": "WA",
            "postal_code": "99123",
            "telephone_number": "509-633-9915",
            "fax_number": "888-316-6792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOBER",
        "first_name": "JUSTIN",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-05",
        "last_updated": "2012-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00008835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esther Walberg Derusha, LMP
• Progressive Rehabilitation Group, Inc. (New Paradigm Physical Therapy)

• Physical Therapist in Electric City, WA
• Providers in Electric City, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.