Individual provider Active NPI

Jeremy L Schafer, MPT, OCS, ECS

  • Physical Therapist
  • Smiths Grove, KY
National Provider Identifier
1326092446
Registry record updated Apr 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT004222 Issued in KY
Practice address
111 College Street
Smiths Grove, KY 42171
Phone
(270) 597-3757
Fax
(270) 597-1020
NPI assigned
May 22, 2006
Last updated
Apr 14, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT004222 KY Primary
Clinical Electrophysiology Physical Therapist 2251E1300X 12233 KY

Addresses

Primary practice location

111 College Street
Smiths Grove, KY 42171

Mailing address

PO Box 157
Brownsville, KY 42210-0157
Phone (502) 287-8122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040812000678 KY Practitioner - Physical Therapist in Private Practice 8527030154 Reassigns benefits to 3 organizations
I20200727001460 FL Practitioner - Physical Therapist in Private Practice 8527030154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

111 College St
Smiths Grove, KY 42171-8239
Phone (270) 563-2084

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT004222KYMDPhysical Therapist
12233KYMDClinical Electrophysiology Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Orthopedic Rehabilitation, LLC CurrentSince Jan 1, 2009 Accepting new patients
Smiths Grove Physical Therapy Physical Therapist CurrentSince Jul 1, 2009 Accepting new patients
Strive Integrated Physical Medicine LLC CurrentSince Apr 21, 2020 Accepting new patients
SN Kentuckiana Rehab, LLC CurrentSince Jul 16, 2019 Accepting new patients
SN Kentuckiana Rehab, LLC Physical Therapist Current Accepting new patients
SN Kentuckiana Rehab, LLC CurrentSince Jul 16, 2019 Accepting new patients
Kentucky Orthopedic Rehabilitation, LLC Physical Therapist Current Accepting new patients
Kentucky Orthopedic Rehabilitation LLC Physical Therapist CurrentSince Jan 1, 2009 Accepting new patients
Schafer Physical Therapy LLC Physical Therapist Past Accepting new patients
Rehabilitation Services PSC Physical Therapist Past Accepting new patients

Locations

2620 SE Maricamp Rd
Ocala, FL 34471
Phone (352) 351-8883

930 Jamestown St
Columbia, KY 42728
Phone (270) 751-8730

210 E Gray St
Ste 807
Louisville, KY 40202
Phone (502) 587-9350

235 Boggs Ln
Ste 9
Richmond, KY 40475
Phone (859) 972-8630

111 College St
Smiths Grove, KY 42171
Phone (270) 563-2084

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20870/brand/1/csg/1/fhir/r4

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271203200000",
    "number": "1326092446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 157",
            "city": "BROWNSVILLE",
            "state": "KY",
            "postal_code": "422100157",
            "telephone_number": "502-287-8122",
            "fax_number": "270-597-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 COLLEGE STREET",
            "city": "SMITHS GROVE",
            "state": "KY",
            "postal_code": "42171",
            "telephone_number": "270-597-3757",
            "fax_number": "270-597-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAFER",
        "first_name": "JEREMY",
        "middle_name": "L",
        "credential": "MPT, OCS, ECS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2010-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "PT004222",
            "primary": true
        },
        {
            "code": "2251E1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": "KY",
            "license": "12233",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smiths Grove, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; 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.