Individual provider Active NPI

Christopher Robert Schroeder, DPT

  • Physical Therapist
  • Palm Harbor, FL
National Provider Identifier
1245979566
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTT38772 Issued in FL
Practice address
4705 Palm Harbor Blvd Ste A19
Palm Harbor, FL 34683-1440
Phone
(727) 781-3550
NPI assigned
Jun 3, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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 PTT38772 FL Primary

Addresses

Primary practice location

4705 Palm Harbor Blvd Ste A19
Palm Harbor, FL 34683-1440

Mailing address

12050 Etris Rd Ste E150
Roswell, GA 30075-8022
Phone (470) 349-8884

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250730004078 FL Practitioner - Physical Therapist in Private Practice 9032626270 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTT38772FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Visitry Florida LLC Physical Therapist CurrentSince Jun 3, 2025 Accepting new patients

Locations

802 E Whiting St
Tampa, FL 33602
Phone (716) 523-1783

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": "1654214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1245979566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12050 ETRIS RD STE E150",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300758022",
            "telephone_number": "470-349-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 PALM HARBOR BLVD STE A19",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346831440",
            "telephone_number": "727-781-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "CHRISTOPHER",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-03",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PTT38772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.