Active NPI
Matthew David Schroeder, PT, DPT, OCS
- Orthopedic Physical Therapist
- Scottsdale, AZ
National Provider Identifier
1235418633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 6454
- Practice address
- 7301 E 2ND St
Suite 90
Scottsdale, AZ 85251-5600 - Phone
- (480) 882-5694
- Fax
- (480) 882-5811
- NPI assigned
- Aug 16, 2011
- Last updated
- Aug 16, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 6454 | AZ | Primary |
Addresses
Primary practice location
7301 E 2ND St
Suite 90
Scottsdale, AZ 85251-5600
Mailing address
3134 N Civic Center PLZ
Scottsdale, AZ 85251-6912
Phone (480) 882-5694
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6454 | AZ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313452800000",
"number": "1235418633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3134 N CIVIC CENTER PLZ",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852516912",
"telephone_number": "480-882-5694",
"fax_number": "480-882-5811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7301 E 2ND ST",
"address_2": "SUITE 90",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852515600",
"telephone_number": "480-882-5694",
"fax_number": "480-882-5811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHROEDER",
"first_name": "MATTHEW",
"middle_name": "DAVID",
"credential": "PT, DPT, OCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-16",
"last_updated": "2011-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "AZ",
"license": "6454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.