Active NPI
Samuel S Schroetke, DPT
- Physical Therapist
- Hillsboro, OR
National Provider Identifier
1265831762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 60685
- Practice address
- 862 SE Oak St.
Suite 2a
Hillsboro, OR 97123 - Phone
- (503) 844-6565
- Fax
- (503) 844-4225
- NPI assigned
- Aug 20, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 60685 | OR | Primary |
Addresses
Primary practice location
862 SE Oak St.
Suite 2a
Hillsboro, OR 97123
Mailing address
862 SE Oak St.
Suite 2a
Hillsboro, OR 97123
Phone (503) 844-6565
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Lake Physical Therapy and Rehab LP | Physical Therapist | Current | Accepting new patients |
| Impact Physical Therapy, LLC | Physical Therapist | Past | Accepting new patients |
Locations
620 SE Oak St
Ste A
Hillsboro, OR 97123
Phone (503) 648-0661
101 S State St
Ste 4200
Lake Oswego, OR 97034
Phone (503) 636-3025
4606 SE Boardman Ave
Portland, OR 97267
Phone (503) 353-9776
21 Cowlitz St
Saint Helens, OR 97051
Phone (503) 396-5411
Organizations & group practices 2
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.
-
- Physical Therapist
- Lake Oswego, OR
- NPI 1316383201
-
- Physical Therapist
- Grants Pass, OR
- NPI 1083655260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442448000000",
"number": "1265831762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "862 SE OAK ST.",
"address_2": "SUITE 2A",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "97123",
"telephone_number": "503-844-6565",
"fax_number": "503-844-4225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "862 SE OAK ST.",
"address_2": "SUITE 2A",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "97123",
"telephone_number": "503-844-6565",
"fax_number": "503-844-4225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHROETKE",
"first_name": "SAMUEL",
"middle_name": "S",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-08-20",
"last_updated": "2015-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "60685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.