Active NPI
Tina Schaffer, PTA
- Specialist
- Sedro Woolley, WA
National Provider Identifier
1083041669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- P160378547
- Practice address
- 780 Cook Rd
Sedro Woolley, WA 98284 - Phone
- (360) 855-3889
- Fax
- (360) 855-3574
- NPI assigned
- Sep 27, 2013
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | P160378547 | WA | Primary |
Addresses
Primary practice location
780 Cook Rd
Sedro Woolley, WA 98284
Mailing address
201 N Township St
Sedro Woolley, WA 98284-1245
Phone (360) 855-3085
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P160378547 | WA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662508800000",
"number": "1083041669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 N TOWNSHIP ST",
"city": "SEDRO WOOLLEY",
"state": "WA",
"postal_code": "982841245",
"telephone_number": "360-855-3085",
"fax_number": "360-855-3574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "780 COOK RD",
"city": "SEDRO WOOLLEY",
"state": "WA",
"postal_code": "98284",
"telephone_number": "360-855-3889",
"fax_number": "360-855-3574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAFFER",
"first_name": "TINA",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-27",
"last_updated": "2022-09-07",
"certification_date": "2022-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "P160378547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sedro Woolley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.