Individual provider Active NPI

Jacqueline Schuman, PT DPT

  • Physical Therapist
  • Williamsville, NY
National Provider Identifier
1154850485
Registry record updated Jun 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
150 Tech Dr
Williamsville, NY 14221-3900
Phone
(716) 276-8641
NPI assigned
Jun 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2020

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 Primary

Addresses

Primary practice location

150 Tech Dr
Williamsville, NY 14221-3900

Mailing address

2100 Union Rd
West Seneca, NY 14224-1400
Phone (716) 213-0772

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191024000925 WA Practitioner - Physical Therapist in Private Practice 1759657497 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Elite Physical Therapy Group LLCGroup PAC ID 2668540337, 11 clinicians
Therapydia of Washington PCGroup PAC ID 9931633492, 22 clinicians

Practice addresses (Care Compare)

223 140TH St S
Suite 700
Tacoma, WA 98444-4549
Phone (253) 531-5645

4114 Bridgeport Way W
University Place, WA 98466-4315
Phone (253) 210-4478

9909 224TH St E
Unit 100B
Graham, WA 98338-7086
Phone (253) 780-4965

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Sep 23, 2019 Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Sep 23, 2019 Accepting new patients
Apple Physical Therapy, LLC Physical Therapist Current Accepting new patients
Elite Physical Therapy Group, LLC CurrentSince Feb 2, 2021 Accepting new patients
Farwest Rehabilitation, Inc PastSince Nov 16, 2020 Accepting new patients
Therapydia of Washington PC Physical Therapist PastSince Jan 26, 2026 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

15600 NE 8th St
Ste E6
Bellevue, WA 98008
Phone (425) 214-7679

4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

9909 224th St E
Unit 100B
Graham, WA 98338
Phone (253) 780-4965

130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300

223 140th St S
Tacoma, WA 98444
Phone (253) 531-5645

223 140th St S
Ste 700
Tacoma, WA 98444
Phone (253) 531-5645

4114 Bridgeport Way W
University Place, WA 98466
Phone (253) 564-4157

Organizations & group practices 6

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": "1496966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1154850485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 UNION RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142241400",
            "telephone_number": "716-213-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 TECH DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142213900",
            "telephone_number": "716-276-8641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUMAN",
        "first_name": "JACQUELINE",
        "credential": "PT DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-09",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; 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.