Individual provider Active NPI

Taylor Jewell Lillian Schwartzkopf, PTA

  • Physical Therapy Assistant
  • Lenexa, KS
National Provider Identifier
1093437907
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
14-04036 Issued in KS
Practice address
16801 W 116TH St
Lenexa, KS 66219-9603
Phone
(913) 538-0777
NPI assigned
Sep 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 14-04036 KS Primary

Addresses

Primary practice location

16801 W 116TH St
Lenexa, KS 66219-9603

Mailing address

8461 Renner Blvd Apt 4305
Lenexa, KS 66219-8538
Phone (573) 366-4833

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

LicenseStateTypeSpecialty
14-04036KSMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1093437907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8461 RENNER BLVD APT 4305",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662198538",
            "telephone_number": "573-366-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16801 W 116TH ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662199603",
            "telephone_number": "913-538-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZKOPF",
        "first_name": "TAYLOR",
        "middle_name": "JEWELL LILLIAN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "14-04036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenexa, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.

Verify at the official NPI Registry.