Patrick John Schmidt Jr., PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00008522 Issued in WA

Practice address

601 W 5TH Ave
Ste. 308
Spokane, WA 99204-2705

Phone

(509) 467-1244

Fax

(509) 456-3608

NPI assigned

Nov 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Empire Star Ventures LLC

  • Physical Therapy Clinic/Center
  • Spokane Valley, WA
  • NPI 1538244017
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124190897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2306 W ASHLEY AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992089284",
            "telephone_number": "509-465-2649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W 5TH AVE",
            "address_2": "STE. 308",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042705",
            "telephone_number": "509-467-1244",
            "fax_number": "509-456-3608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "PATRICK",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00008522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0181045",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8333775",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary Michael Schmidt
• Kaeden Roderick Schmidt
• Laura S Schmidt, MA, LMFT
• Lisa Schmidt
• Nicole Schmidt
• Sara Cohen Schmidt, PH.D.
• Sharon Dianne Schmidt, MSW/LSW
• Willette Marie Schmidt
• Jessaca Schmieder
• Linda Sue Schmit, RCP

• Physical Therapist in Spokane, WA
• Providers in Spokane, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.