Individual provider Active NPI

Kathleen Schneider, DPT

  • Physical Therapist
  • Mesa, AZ
National Provider Identifier
1316356934
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10944 Issued in AZ
Practice address
2853 S Sossaman Rd Ste A106
Mesa, AZ 85212-9625
Phone
(480) 373-9700
NPI assigned
Aug 7, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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 10944 AZ Primary

Addresses

Primary practice location

2853 S Sossaman Rd Ste A106
Mesa, AZ 85212-9625

Mailing address

2853 S Sossaman Rd Ste A106
Mesa, AZ 85212-9625
Phone (480) 373-9700

Other practice location 1

1710 Suburban Ave
Saint Paul, MN 55106-6636
Phone (651) 254-3200 ext. 2

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

NPI Registry JSON

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1316356934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2853 S SOSSAMAN RD STE A106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852129625",
            "telephone_number": "480-373-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2853 S SOSSAMAN RD STE A106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852129625",
            "telephone_number": "480-373-9700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1710 Suburban Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551066636",
            "country_code": "US",
            "telephone_number": "651-254-3200 x2",
            "fax_number": "480-782-5213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "KATHLEEN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-07",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "10944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.