Individual provider Active NPI

Mark Schramm

  • Physical Therapist
  • Clifton Springs, NY
National Provider Identifier
1114483690
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501019088 Issued in MI
Practice address
210 Clifton Springs Professional Park
Clifton Springs, NY 14432-1041
Phone
(315) 462-3588
Fax
(315) 906-0058
NPI assigned
Feb 20, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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 5501019088 MI Primary

Addresses

Primary practice location

210 Clifton Springs Professional Park
Clifton Springs, NY 14432-1041

Mailing address

210 Clifton Springs Professional Park
Clifton Springs, NY 14432-1041
Phone (315) 462-3588

Other practice location 1

1200 Corporate Dr
Adrian, MI 49221-9008
Phone (517) 264-2790

Other practice location 2

1800 W US Highway 223
Adrian, MI 49221-8439
Phone (517) 263-3378

Other practice location 3

1434 W Chicago Blvd
Tecumseh, MI 49286-8727
Phone (517) 424-8100

Other practice location 4

225 S Main St
Brooklyn, MI 49230-9158
Phone (517) 938-5980

Other identifiers 1

IdentifierTypeStateIssuer
06109080MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL korpielpt@gmail.com Other Korpiel Physical Therapy, PC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210528001243 WA Practitioner - Physical Therapist in Private Practice 1759621394 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10207 19TH Ave SE
Everett, WA 98208-4257
Phone (425) 337-3166

4220 132ND St SE
Mill Creek, WA 98012-8999
Phone (425) 686-7655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
045808NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Brzezinski Chiropractic, PLLC CurrentSince May 31, 2024 Accepting new patients
Integrated Rehabilitation Group, PC Physical Therapist CurrentSince Apr 26, 2021 Accepting new patients
Integrated Rehabilitation Group, PC Physical Therapist CurrentSince Apr 26, 2021 Accepting new patients
Schramm Physical Therapy and Performance PLLC Current Accepting new patients

Locations

225 S Main St
Brooklyn, MI 49230
Phone (517) 938-5980

875 Wesley St
Ste 220
Arlington, WA 98223
Phone (425) 337-3166

10207 19th Ave SE
Everett, WA 98208
Phone (425) 337-3166

403 W Stanley St
Granite Falls, WA 98252
Phone (360) 691-4835

4220 132nd St SE
Ste 101
Mill Creek, WA 98012
Phone (425) 316-8046

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": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1114483690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 CLIFTON SPRINGS PROFESSIONAL PARK",
            "city": "CLIFTON SPRINGS",
            "state": "NY",
            "postal_code": "144321041",
            "telephone_number": "315-462-3588",
            "fax_number": "315-906-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 CLIFTON SPRINGS PROFESSIONAL PARK",
            "city": "CLIFTON SPRINGS",
            "state": "NY",
            "postal_code": "144321041",
            "telephone_number": "315-462-3588",
            "fax_number": "315-906-0058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Corporate Dr",
            "address_purpose": "LOCATION",
            "city": "Adrian",
            "state": "MI",
            "postal_code": "492219008",
            "country_code": "US",
            "telephone_number": "517-264-2790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 W US Highway 223",
            "address_purpose": "LOCATION",
            "city": "Adrian",
            "state": "MI",
            "postal_code": "492218439",
            "country_code": "US",
            "telephone_number": "517-263-3378",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1434 W Chicago Blvd",
            "address_purpose": "LOCATION",
            "city": "Tecumseh",
            "state": "MI",
            "postal_code": "492868727",
            "country_code": "US",
            "telephone_number": "517-424-8100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 S Main St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "MI",
            "postal_code": "492309158",
            "country_code": "US",
            "telephone_number": "517-938-5980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHRAMM",
        "first_name": "MARK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-20",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06109080",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "korpielpt@gmail.com",
            "affiliation": "Y",
            "endpointDescription": "business  website",
            "affiliationName": "Korpiel Physical Therapy, PC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "None",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Business",
            "address_1": "210 Clifton Springs Professional Park",
            "city": "Clifton Springs",
            "state": "NY",
            "country_code": "US",
            "postal_code": "144321041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clifton Springs, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.

Verify at the official NPI Registry.