Active NPI
Joe R Schroeder, DPT
- Physical Therapist
- Windsor, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1209776
- Practice address
- 1230 W Ash St Unit a
Windsor, CO 80550-4677 - Phone
- (970) 561-7111
- Fax
- (970) 561-7112
- NPI assigned
- Jan 28, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTL.0012098 | CO | |
| Physical Therapist | 225100000X | 1209776 | TX | Primary |
Addresses
Primary practice location
1230 W Ash St Unit a
Windsor, CO 80550-4677
Mailing address
1230 W Ash St Unit a
Windsor, CO 80550-4677
Phone (970) 561-7111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1093 E Bridge St
Brighton, CO 80601-2252
Phone (303) 655-9005
4356 24TH St Rd
Greeley, CO 80634-3330
Phone (970) 702-7400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTL.0012098 | CO | MD | Physical Therapist |
| 1209776 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fortitude Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Peak Form LLC | Physical Therapist | Current | Accepting new patients |
| Sisu Therapies LLC | Physical Therapist | Current | Accepting new patients |
| Peak Form LLC | Physical Therapist | Current | Accepting new patients |
| Peak Form LLC | Physical Therapist | Current | Accepting new patients |
Locations
695 S Broadway St
Ste A
Boulder, CO 80305
Phone (303) 402-9283
1093 E Bridge St
Brighton, CO 80601
Phone (303) 655-9005
3490 Centennial Blvd
Colorado Springs, CO 80907
Phone (719) 685-8888
9208 Grand Cordera Pkwy
Colorado Springs, CO 80924
Phone (303) 877-8517
4356 24th Street Rd
Greeley, CO 80634
Phone (719) 900-1398
1230 W Ash St
Unit A
Windsor, CO 80550
Phone (970) 561-7111
1296 Main St
Unit B
Windsor, CO 80550
Phone (970) 561-7111
Organizations & group practices 5
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.
-
- Physical Therapy Clinic/Center
- Grand Junction, CO
- NPI 1538614532
Physical Therapist
-
- Physical Medicine & Rehabilitation Physician
- Boulder, CO
- NPI 1982718003
Physical Therapist
-
- Physical Medicine & Rehabilitation Physician
- Broomfield, CO
- NPI 1831863117
Physical Therapist
-
- Physical Medicine & Rehabilitation Physician
- Greeley, CO
- NPI 1851113385
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586995200000",
"number": "1104164953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1230 W ASH ST UNIT A",
"city": "WINDSOR",
"state": "CO",
"postal_code": "805504677",
"telephone_number": "970-561-7111",
"fax_number": "970-561-7112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1230 W ASH ST UNIT A",
"city": "WINDSOR",
"state": "CO",
"postal_code": "805504677",
"telephone_number": "970-561-7111",
"fax_number": "970-561-7112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHROEDER",
"first_name": "JOE",
"middle_name": "R",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-01-28",
"last_updated": "2020-04-16",
"certification_date": "2020-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL.0012098",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1209776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Windsor, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; 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.