Individual provider Active NPI

Keith Erik Schmidt, PT

  • Physical Therapist
  • Centralia, WA
National Provider Identifier
1124397310
Registry record updated Dec 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60224344 Issued in WA
Practice address
914 S Scheuber Road
Providence Centralia Hospital
Centralia, WA 98532
Phone
(360) 330-8720
Fax
(360) 330-8737
NPI assigned
Dec 19, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2011

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 PT60224344 WA Primary

Addresses

Primary practice location

914 S Scheuber Road
Providence Centralia Hospital
Centralia, WA 98532

Mailing address

914 S Scheuber Rd
Providence Centralia Hospital
Centralia, WA 98532
Phone (360) 330-8720

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

Practice roles

OrganizationSpecialtyStatusNew patients
Olympia Orthopaedic Associates PLLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5512/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324252800000",
    "number": "1124397310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 S SCHEUBER RD",
            "address_2": "PROVIDENCE CENTRALIA HOSPITAL",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "98532",
            "telephone_number": "360-330-8720",
            "fax_number": "360-330-8737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 S SCHEUBER ROAD",
            "address_2": "PROVIDENCE CENTRALIA HOSPITAL",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "98532",
            "telephone_number": "360-330-8720",
            "fax_number": "360-330-8737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "KEITH",
        "middle_name": "ERIK",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-19",
        "last_updated": "2011-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60224344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centralia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; 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.