James G Schaefer, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.007109 Issued in IL

Practice address

505 College Ave
Ottawa, IL 61350-3858

Phone

(815) 434-1130

NPI assigned

Jun 17, 2019

Last updated

Jun 17, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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 IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Premise Health of Illinois Medical PC

  dba Mount Vernon Health Center Mt Vernon

  • Primary Care Clinic/Center
  • Mount Vernon, IL
  • NPI 1427366921
  Medicare reassignment NPD
• Premise Health of Illinois Medical PC

  dba MCL Health Center - Utica

  • Multi-Specialty Clinic/Center
  • Utica, IL
  • NPI 1295518868
  NPD
• Premise Health of Illinois Medical PC

  dba Premise Health Wellness Center

  • Multi-Specialty Clinic/Center
  • Northbrook, IL
  • NPI 1629716121
  NPD
• Twin Rivers Physical Therapy, PC

  • Physical Therapist
  • Moline, IL
  • NPI 1740279835
  NPD (past)

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1316507841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 33RD ST",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613549488",
            "telephone_number": "309-235-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 COLLEGE AVE",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613503858",
            "telephone_number": "815-434-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEFER",
        "first_name": "JAMES",
        "middle_name": "G",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.007109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Sage, PMHNP-BC
• Rebecca Samolitis, LCSW
• Wendy Sanders-Maubach, O.D.
• William Santucci, PT
• Raihan Aziz Sayeed, MD
• Tatum Schilling, OTR/L
• Robert William Schmidt, D.D.S., F.A.G.D. P.C
• Lisa Marie Schroeder, LCSW, CTTP-1
• Serenityonwheels, Inc. (No)
• Calym Setser

• Physical Therapist in Ottawa, IL
• Providers in Ottawa, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; 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.