Active NPI
Deborah Schneider, M.D.
- Physical Medicine & Rehabilitation Physician
- Fort Pierce, FL
National Provider Identifier
1245267806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- ME74822
- Practice address
- 1700 S 23Rd St
Fort Pierce, FL 34950-4803 - Phone
- (772) 461-4000
- NPI assigned
- Jun 27, 2006
- Last updated
- Feb 19, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | D0034511 | MD | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 2007027066 | MO | |
| Physical Medicine & Rehabilitation Physician | 208100000X | MD431164 | PA | |
| Physical Medicine & Rehabilitation Physician | 208100000X | ME74822 | FL | Primary |
Addresses
Primary practice location
1700 S 23Rd St
Fort Pierce, FL 34950-4803
Mailing address
1776 Woodstead CT Ste 208
The Woodlands, TX 77380-1480
Phone (281) 724-3050
Other practice location 1
55 Monument Rd
York, PA 17403-5023
Phone (717) 812-2212
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 828201300 | Medicaid | MD | |
| 037655600 | Medicaid | DC |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME74822 | FL | MD | Physical Medicine & Rehabilitation Physician |
| 2007027066 | MO | MD | Physical Medicine & Rehabilitation Physician |
| MD431164 | PA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Five Star Physician Services, LLC | Physical Medicine & Rehabilitation | Past | Accepting new patients |
| Mid Atlantic Long Term Care | Past | Accepting new patients | |
| Mercy Clinic Joplin LLC | Past | Accepting new patients | |
| Sjmgroup | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Linthicum Heights, MD
- NPI 1083654479
Physical Medicine & Rehabilitation
-
- Family Medicine Physician
- Joplin, MO
- NPI 1215264817
-
- Skilled Nursing Facility
- Towson, MD
- NPI 1154337038
-
- Endocrinology, Diabetes & Metabolism Physician
- Englewood, CO
- NPI 1376590034
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708300800000",
"number": "1245267806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1776 WOODSTEAD CT STE 208",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773801480",
"telephone_number": "281-724-3050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 S 23RD ST",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349504803",
"telephone_number": "772-461-4000"
}
],
"practiceLocations": [
{
"address_1": "55 Monument Rd",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174035023",
"country_code": "US",
"telephone_number": "717-812-2212",
"fax_number": "717-741-3784",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHNEIDER",
"first_name": "DEBORAH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-27",
"last_updated": "2024-02-19",
"certification_date": "2024-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MD",
"license": "D0034511",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MO",
"license": "2007027066",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "PA",
"license": "MD431164",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "FL",
"license": "ME74822",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "828201300",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "037655600",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Pierce, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.