Individual provider Active NPI

Jessica J Schneider, PT

  • Physical Therapist
  • West Des Moines, IA
National Provider Identifier
1114176724
Registry record updated Oct 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
004132 Issued in IA
Practice address
2850 Westown Pkwy
West Des Moines, IA 50266
Phone
(515) 224-5225
Fax
(515) 224-5235
NPI assigned
Sep 18, 2008
Last updated
Oct 25, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 004132 IA Primary

Addresses

Primary practice location

2850 Westown Pkwy
West Des Moines, IA 50266

Mailing address

1200 Pleasant Street
South 2 Room 236
Des Moines, IA 50309-1406
Phone (515) 241-6228

Other practice location 1

1200 N 7th St
Chariton, IA 50049-1210
Phone (641) 774-3000 ext. 3386

Other practice location 2

1200 N 7th St
Chariton, IA 50049-1210
Phone (641) 774-3000 ext. 3386

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": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1114176724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 PLEASANT STREET",
            "address_2": "SOUTH 2 ROOM 236",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091406",
            "telephone_number": "515-241-6228",
            "fax_number": "515-241-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 WESTOWN PKWY",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "50266",
            "telephone_number": "515-224-5225",
            "fax_number": "515-224-5235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 N 7th St",
            "address_purpose": "LOCATION",
            "city": "Chariton",
            "state": "IA",
            "postal_code": "500491210",
            "country_code": "US",
            "telephone_number": "641-774-3000 x3386",
            "fax_number": "641-774-3284",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 N 7th St",
            "address_purpose": "LOCATION",
            "city": "Chariton",
            "state": "IA",
            "postal_code": "500491210",
            "country_code": "US",
            "telephone_number": "641-774-3000 x3386",
            "fax_number": "641-774-3284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "JESSICA",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-18",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "004132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; 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.