Individual provider Active NPI

Michelle Schrader, P.T.

  • Physical Therapist
  • Pacific Palisades, CA
National Provider Identifier
1285751297
Registry record updated Feb 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT20610 Issued in CA
Practice address
861 Via de la Paz Ste F
Pacific Palisades, CA 90272-5208
Phone
(999) 999-9999
NPI assigned
Mar 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2021

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 PT20610 CA Primary

Addresses

Primary practice location

861 Via de la Paz Ste F
Pacific Palisades, CA 90272-5208

Mailing address

970 Monument St Ste 207
Pacific Palisades, CA 90272-3887
Phone (310) 573-9553

Other practice location 1

970 Monument St Ste 207
Pacific Palisades, CA 90272-3887
Phone (310) 573-9553

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081110000061 CA Practitioner - Physical Therapist in Private Practice 8123918653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

861 Via de la Paz
Suite F
Pacific Palisades, CA 90272-5208
Phone (310) 850-5373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
20610CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean Physical Therapy & Wellness Physical Therapist CurrentSince Jun 27, 2023 Accepting new patients
The Cypress Center, a Physical Therapy Corporation Physical Therapist PastSince Mar 1, 2021 Accepting new patients
Cypress Physical Therapy Center, Inc. Physical Therapist PastSince Sep 24, 2023 Accepting new patients

Locations

135 S Barrington Pl
Los Angeles, CA 90049
Phone (310) 472-2121

861 Via de la Paz
Ste F
Pacific Palisades, CA 90272
Phone (310) 850-5373

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": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613174400000",
    "number": "1285751297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 MONUMENT ST STE 207",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723887",
            "telephone_number": "310-573-9553",
            "fax_number": "310-573-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "861 VIA DE LA PAZ STE F",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902725208",
            "telephone_number": "999-999-9999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "970 Monument St Ste 207",
            "address_purpose": "LOCATION",
            "city": "Pacific Palisades",
            "state": "CA",
            "postal_code": "902723887",
            "country_code": "US",
            "telephone_number": "310-573-9553",
            "fax_number": "310-573-9533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHRADER",
        "first_name": "MICHELLE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2021-02-13",
        "certification_date": "2021-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT20610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pacific Palisades, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.