Individual provider Active NPI

David Scott Schmitz, P.T.

  • Physical Therapist
  • Germantown, WI
National Provider Identifier
1295760924
Registry record updated Oct 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3316-024 Issued in WI
Practice address
W161N11115 Meadow Dr
Germantown, WI 53022-4075
Phone
(262) 305-4753
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2008

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 3316-024 WI Primary

Addresses

Primary practice location

W161N11115 Meadow Dr
Germantown, WI 53022-4075

Mailing address

W161N11115 Meadow Dr
Germantown, WI 53022-4075
Phone (262) 305-4753

Other identifiers 1

IdentifierTypeStateIssuer
40185400MedicaidWI

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
3316WIMDDentist
3316-024WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Back in Action Rehabilitation S.C. Physical Therapist Past Accepting new patients
Back in Action Rehabilitation, S.C. Physical Therapist Past Accepting new patients
Body Renovation Physical Therapy SC Physical Therapist PastSince Jan 1, 2007 Accepting new patients
Body Renovation Health Services, S.C. Past Accepting new patients

Organizations & group practices 4

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223337600000",
    "number": "1295760924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W161N11115 MEADOW DR",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530224075",
            "telephone_number": "262-305-4753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W161N11115 MEADOW DR",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530224075",
            "telephone_number": "262-305-4753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMITZ",
        "first_name": "DAVID",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2008-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "3316-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40185400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.