Individual provider Active NPI

Brandy Schumaker

  • Physical Therapist
  • Boardman, OH
National Provider Identifier
1275193658
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT018100 Issued in OH
Practice address
730 Bev Rd Ste 3Ab4
Boardman, OH 44512-6481
Phone
(330) 506-4586
NPI assigned
Jun 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT027728 PA
Physical Therapist 225100000X PT018100 OH Primary

Addresses

Primary practice location

730 Bev Rd Ste 3Ab4
Boardman, OH 44512-6481

Mailing address

8451 Hitchcock Rd
Boardman, OH 44512-6541
Phone (330) 506-4586

Other practice location 1

625 Walnut St
McKeesport, PA 15132-2806
Phone (412) 673-5005

Other practice location 2

850 E Midlothian Blvd
Youngstown, OH 44502-2507
Phone (330) 788-3038

Other identifiers 2

IdentifierTypeStateIssuer
PT027728OtherPAPT LICENSE
PT018100OtherOHPT LICENSE

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

LicenseStateTypeSpecialty
PT018100OHMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1275193658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8451 HITCHCOCK RD",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445126541",
            "telephone_number": "330-506-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 BEV RD STE 3AB4",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445126481",
            "telephone_number": "330-506-4586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 Walnut St",
            "address_purpose": "LOCATION",
            "city": "McKeesport",
            "state": "PA",
            "postal_code": "151322806",
            "country_code": "US",
            "telephone_number": "412-673-5005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "850 E Midlothian Blvd",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445022507",
            "country_code": "US",
            "telephone_number": "330-788-3038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHUMAKER",
        "first_name": "BRANDY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT027728",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT018100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT027728",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT018100",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.