Jereme Schumacher, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

293476 Issued in CA

Practice address

4030 Sports Arena Blvd
San Diego, CA 92110-5125

Phone

(909) 561-7079

NPI assigned

Aug 15, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bespoke San Diego Physical Therapy PCGroup PAC ID 7012388168, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bespoke San Diego Physical Therapy PC

  • Physical Therapy Clinic/Center
  • San Diego, CA
  • NPI 1245847540

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1295251965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 PACIFIC BEACH DR UNIT 2D",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921095237",
            "telephone_number": "909-561-7079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 SPORTS ARENA BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921105125",
            "telephone_number": "909-561-7079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3959 Ruffin Rd Ste J",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921231830",
            "country_code": "US",
            "telephone_number": "858-279-5570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHUMACHER",
        "first_name": "JEREME",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "293476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aliya Nazerali Schulze, LAC
• Mercedes Schulze
• Samuel Walter Schulze, PMHNP-BC
• Eric Schumacher, P.T.
• Janis Schumacher, MA, CCC-SLP
• Leif-Erik Dylan Schumacher, MD
• Mark G. Schumacher, MD
• Meredith Sislow Schumacher, DPT
• Ulrika B. Schumacher, MD
• Rebecca K Schuman, ACSW

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.