Individual provider Active NPI

Deanna M Schaefer, PT

  • Physical Therapist
  • Mill Valley, CA
National Provider Identifier
1245375450
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
019722 Issued in PA
Practice address
26 Topside Way
Mill Valley, CA 94941-3212
Phone
(646) 262-9224
NPI assigned
Feb 21, 2007
Last updated
Aug 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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 019722 PA Primary

Addresses

Primary practice location

26 Topside Way
Mill Valley, CA 94941-3212

Mailing address

730 Wyndale Rd
Jenkintown, PA 19046-1552
Phone (215) 884-1688

Other practice location 1

5 W Wissahickon Ave
Flourtown, PA 19031-1917
Phone (215) 233-6145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100504000328 PA Practitioner - Physical Therapist in Private Practice 0749318244 Reassigns benefits to 1 organization
I20210907002262 CA Practitioner - Physical Therapist in Private Practice 0749318244

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

26 Topside Way
Mill Valley, CA 94941-3212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019722PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elkins Park Physical Therapy LLC Physical Therapist CurrentSince Apr 2, 2018 Accepting new patients
Montgomery County Rehabilitation & Sports Therapy, P.C. Physical Therapist CurrentSince Jul 1, 2026 Accepting new patients

Locations

125 Yorktown Plz
Elkins Park, PA 19027
Phone (215) 887-2471

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1245375450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 WYNDALE RD",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190461552",
            "telephone_number": "215-884-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 TOPSIDE WAY",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949413212",
            "telephone_number": "646-262-9224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 W Wissahickon Ave",
            "address_purpose": "LOCATION",
            "city": "Flourtown",
            "state": "PA",
            "postal_code": "190311917",
            "country_code": "US",
            "telephone_number": "215-233-6145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHAEFER",
        "first_name": "DEANNA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "019722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.