Individual provider Active NPI

Kim Marie Schonhoff-Reiter, PT

  • Physical Therapist
  • Waterloo, IA
National Provider Identifier
1245226158
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
01854 Issued in IA
Practice address
2010 E Ridgeway Ave
Waterloo, IA 50702-2730
Phone
(319) 233-3010
Fax
(319) 233-3919
NPI assigned
Sep 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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 01854 IA Primary

Addresses

Primary practice location

2010 E Ridgeway Ave
Waterloo, IA 50702-2730

Mailing address

2010 E Ridgeway Ave
Waterloo, IA 50702-2730
Phone (319) 233-3010

Other identifiers 1

IdentifierTypeStateIssuer
58089OtherIAWELLMARK BC/BS OF IOWA

Other names 1

  • Ms. Kim Marie Schonhoff Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061221000558 IA Practitioner - Physical Therapist in Private Practice 4981604915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
US PT Physical Therapy Limited PartnershipGroup PAC ID 6800896838, 2 clinicians

Practice addresses (Care Compare)

352 E Ridgeway Ave
Waterloo, IA 50702-5042
Phone (319) 233-3010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
US PT Physical Therapy Limited Partnership Physical Therapist CurrentSince Sep 22, 2006 Accepting new patients

Locations

352 E Ridgeway Ave
Waterloo, IA 50702
Phone (319) 233-3010

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": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205971200000",
    "number": "1245226158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 E RIDGEWAY AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507022730",
            "telephone_number": "319-233-3010",
            "fax_number": "319-233-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 E RIDGEWAY AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507022730",
            "telephone_number": "319-233-3010",
            "fax_number": "319-233-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHONHOFF-REITER",
        "first_name": "KIM",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-26",
        "last_updated": "2008-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "01854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BC/BS OF IOWA",
            "identifier": "58089",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "SCHONHOFF",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waterloo, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; 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.