Individual provider Active NPI

Ryan Schoenborn

  • Physical Therapist
  • Cape May Court House, NJ
National Provider Identifier
1245638865
Registry record updated Dec 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01585800 Issued in NJ
Practice address
144 Magnolia Dr
Cape May Court House, NJ 08210-2141
Phone
(609) 465-7171
NPI assigned
Dec 12, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2014

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 40QA01585800 NJ Primary

Addresses

Primary practice location

144 Magnolia Dr
Cape May Court House, NJ 08210-2141

Mailing address

842 Giordano LN
Hammonton, NJ 08037-8420
Phone (609) 567-3572

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171229001242 NJ Practitioner - Physical Therapist in Private Practice 6103184858 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01585800NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Patient Care Specialty Group PC Physical Therapist CurrentSince Jun 1, 2022 Accepting new patients

Locations

26 Main St
Edison, NJ 08837
Phone (609) 385-2622

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": "1418342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418342400000",
    "number": "1245638865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "842 GIORDANO LN",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080378420",
            "telephone_number": "609-567-3572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 MAGNOLIA DR",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082102141",
            "telephone_number": "609-465-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOENBORN",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-12",
        "last_updated": "2014-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01585800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape May Court House, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.