Individual provider Active NPI

Blake Schnurr, PT, DPT

  • Physical Therapist
  • Columbus, NC
National Provider Identifier
1073114294
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P19720 Issued in NC
Practice address
60 Shuford Rd
Columbus, NC 28722-7406
Phone
(828) 894-0277
Fax
(828) 894-0278
NPI assigned
Nov 4, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P19720 NC Primary

Addresses

Primary practice location

60 Shuford Rd
Columbus, NC 28722-7406

Mailing address

60 Shuford Rd
Columbus, NC 28722-7406
Phone (828) 894-0277

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220316003055 WA Practitioner - Physical Therapist in Private Practice 8325459951 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kitsap Physical Therapy and Sports Clinic PS Inc Physical Therapist CurrentSince Feb 11, 2022 Accepting new patients
Kitsap Physical Therapy and Sports Clinic PS Inc Physical Therapist CurrentSince Feb 11, 2022 Accepting new patients

Locations

1880 Pottery Ave
Ste 100
Port Orchard, WA 98366
Phone (360) 859-9090

2400 NW Myhre Rd
Ste 102
Silverdale, WA 98383
Phone (360) 598-3764

2400 NW Myhre Rd
Ste 101
Silverdale, WA 98383
Phone (360) 598-3764

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.

NPI Registry JSON

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1073114294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 SHUFORD RD",
            "city": "COLUMBUS",
            "state": "NC",
            "postal_code": "287227406",
            "telephone_number": "828-894-0277",
            "fax_number": "828-894-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 SHUFORD RD",
            "city": "COLUMBUS",
            "state": "NC",
            "postal_code": "287227406",
            "telephone_number": "828-894-0277",
            "fax_number": "828-894-0278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNURR",
        "first_name": "BLAKE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-04",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P19720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.