Active NPI
Michael J Schoen, PT
- Physical Therapist
- Maumee, OH
National Provider Identifier
1104810837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT.001261
- Practice address
- 3039 Plumbrook Dr
Maumee, OH 43537-9662 - Phone
- (419) 474-2545
- Fax
- (419) 474-2505
- NPI assigned
- Sep 8, 2005
- Last updated
- Oct 30, 2007
- 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 | PT.001261 | OH | Primary |
Addresses
Primary practice location
3039 Plumbrook Dr
Maumee, OH 43537-9662
Mailing address
3039 Plumbrook Dr
Maumee, OH 43537-9662
Phone (419) 474-2545
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 |
|---|---|---|---|
| PT.001261 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobility Rehabilitation Specialist | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Maumee, OH
- NPI 1679623946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193702400000",
"number": "1104810837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3039 PLUMBROOK DR",
"city": "MAUMEE",
"state": "OH",
"postal_code": "435379662",
"telephone_number": "419-474-2545",
"fax_number": "419-474-2505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3039 PLUMBROOK DR",
"city": "MAUMEE",
"state": "OH",
"postal_code": "435379662",
"telephone_number": "419-474-2545",
"fax_number": "419-474-2505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOEN",
"first_name": "MICHAEL",
"middle_name": "J",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-08",
"last_updated": "2007-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT.001261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maumee, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.