Individual provider Active NPI

Robert A Schneider, PT

  • Physical Therapist
  • Chapel Hill, NC
National Provider Identifier
1285715474
Registry record updated Jul 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4399 Issued in NC
Practice address
205 Sage Rd
Chapel Hill, NC 27514-6995
Phone
(919) 918-4171
Fax
(919) 918-4172
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X 4399 NC
Physical Therapist 225100000X 4399 NC Primary

Addresses

Primary practice location

205 Sage Rd
Chapel Hill, NC 27514-6995

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080304000247 NC Practitioner - Physical Therapist in Private Practice 9133204928 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4399NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Proaxis Therapy NC, LLC Physical Therapist CurrentSince Sep 1, 2013 Accepting new patients
Breakthrough Physical Therapy Physical Therapist Past Accepting new patients
Proaxis Therapy SC, LLC Physical Therapist Past Accepting new patients

Locations

33202 Collection Ctr Dr
Chicago, IL 60693

303 Park St
Belmont, NC 28012
Phone (704) 826-9980

304 W Weaver St
Unit 103
Carrboro, NC 27510
Phone (919) 942-0240

205 Sage Rd
Ste 203
Chapel Hill, NC 27514
Phone (919) 918-4171

959 East St
Pittsboro, NC 27312
Phone (919) 918-4171

Organizations & group practices 3

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437609600000",
    "number": "1285715474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 SAGE RD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275146995",
            "telephone_number": "919-918-4171",
            "fax_number": "919-918-4172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "ROBERT",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2015-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NC",
            "license": "4399",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "4399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; 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.