Active NPI
Geri Lynn Schaaf, PT
- Specialist
- Ponderay, ID
National Provider Identifier
1265748305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PT-455
- Practice address
- 30336 Highway 200 Ste B
Ponderay, ID 83852-9775 - Phone
- (208) 265-8333
- Fax
- (208) 263-1394
- NPI assigned
- Aug 26, 2010
- Last updated
- Aug 26, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | PT-455 | ID | Primary |
Addresses
Primary practice location
30336 Highway 200 Ste B
Ponderay, ID 83852-9775
Mailing address
1181 Talache Rd
Sagle, ID 83860-9224
Phone (208) 263-3454
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-455 | ID | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282780800000",
"number": "1265748305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1181 TALACHE RD",
"city": "SAGLE",
"state": "ID",
"postal_code": "838609224",
"telephone_number": "208-263-3454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30336 HIGHWAY 200 STE B",
"city": "PONDERAY",
"state": "ID",
"postal_code": "838529775",
"telephone_number": "208-265-8333",
"fax_number": "208-263-1394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAAF",
"first_name": "GERI",
"middle_name": "LYNN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-26",
"last_updated": "2010-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "ID",
"license": "PT-455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponderay, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.