Individual provider Active NPI

Fred S Schleifer, PT

  • Physical Therapist
  • Salem, VA
National Provider Identifier
1205976693
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305005607 Issued in VA
Practice address
2119 Apperson Dr
Salem, VA 24153-7235
Phone
(540) 772-8022
Fax
(540) 527-0055
NPI assigned
Feb 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 2305005607 VA Primary

Addresses

Primary practice location

2119 Apperson Dr
Salem, VA 24153-7235

Mailing address

2119 Apperson Dr
Salem, VA 24153-7235
Phone (540) 772-8022

Other identifiers 6

IdentifierTypeStateIssuer
193431OtherVAANTHEM PT LOC 1
193442OtherVAANTHEM PT LOC 5
266736OtherVAMAMSI
193437OtherVAANTHEM PT LOC 3
249624OtherVAANTHEM PT LOC 6
193434OtherVAANTHEM PT LOC 2

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

State licenses

LicenseStateTypeSpecialty
2305005607VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lucas Physical Therapy Inc Physical Therapist PastSince Sep 22, 2015 Accepting new patients

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": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205976693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2119 APPERSON DR",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537235",
            "telephone_number": "540-772-8022",
            "fax_number": "540-527-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 APPERSON DR",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537235",
            "telephone_number": "540-772-8022",
            "fax_number": "540-527-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLEIFER",
        "first_name": "FRED",
        "middle_name": "S",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305005607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PT LOC 1",
            "identifier": "193431",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PT LOC 5",
            "identifier": "193442",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "266736",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PT LOC 3",
            "identifier": "193437",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PT LOC 6",
            "identifier": "249624",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PT LOC 2",
            "identifier": "193434",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, VA

Sources for this page

  • 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.