Individual provider Active NPI

Eric J. Schussler, PHD, PT, ATC, CSCS

  • Physical Therapist
  • Norfolk, VA
National Provider Identifier
1104895200
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305210224 Issued in VA
Practice address
3300 Azalea Garden Rd
Norfolk, VA 23513-2239
Phone
(412) 389-1041
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT017332 PA
Physical Therapist 225100000X 2744 NE
Physical Therapist 225100000X 2305210224 VA Primary

Addresses

Primary practice location

3300 Azalea Garden Rd
Norfolk, VA 23513-2239

Mailing address

534 Massachusetts Ave
Norfolk, VA 23508-2116
Phone (412) 389-1041

Other identifiers 1

IdentifierTypeStateIssuer
39677OtherNEBCBS

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PT017332PAMDPhysical Therapist
2305210224VAMDPhysical Therapist
2744NEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlas Human Performance Physical Therapist CurrentSince Feb 1, 2021 Accepting new patients
The Physical Therapy Institute Past Accepting new patients
East Suburban Home Care LLC Physical Therapist Past Accepting new patients
The Physical Therapy Institute Past Accepting new patients

Locations

3300 Azalea Garden Rd
Norfolk, VA 23513
Phone (412) 389-1041

1024 Bells Rd
Ste 117
Virginia Beach, VA 23451
Phone (757) 963-0229

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1104895200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 MASSACHUSETTS AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235082116",
            "telephone_number": "412-389-1041",
            "fax_number": "402-436-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 AZALEA GARDEN RD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235132239",
            "telephone_number": "412-389-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUSSLER",
        "first_name": "ERIC",
        "middle_name": "J.",
        "credential": "PHD, PT, ATC, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT017332",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "2744",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305210224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "39677",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.