Active NPI
Charles Schwiesow, DPT
- Physical Therapist
- Forest Lake, MN
National Provider Identifier
1093002479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8774
- Practice address
- 146 Lake St N
Forest Lake, MN 55025-2518 - Phone
- (651) 464-8502
- NPI assigned
- Jul 6, 2011
- Sex
- Male
- 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 | 8774 | MN | Primary |
Addresses
Primary practice location
146 Lake St N
Forest Lake, MN 55025-2518
Mailing address
7541 9TH St N
Oakdale, MN 55128-6626
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309910400000",
"number": "1093002479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7541 9TH ST N",
"city": "OAKDALE",
"state": "MN",
"postal_code": "551286626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 LAKE ST N",
"city": "FOREST LAKE",
"state": "MN",
"postal_code": "550252518",
"telephone_number": "651-464-8502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWIESOW",
"first_name": "CHARLES",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-06",
"last_updated": "2011-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "8774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forest Lake, MN
- Savi Services, Inc (Lakes Counseling)
- Ervin George Savord, D.D.S.
- Rita Lynn Scanlan, OTR/L
- Vladimir Joseph Scharafanow, MT
- Angela Bea Schroer, NCSP
- Selah Wellness Clinic LLC
- Steven Duane Semmler, M.D.
- Senior Care Forest Lake, LLC (Birchwood Health Care Center)
- Shoptikal LLC (Shopko Optical 4251)
- Leo Carl Sinna, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.