Active NPI
Karin Lee Van Schaffel, PT
- Physical Therapist
- Spencerport, NY
National Provider Identifier
1326098591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 014745
- Practice address
- 37 N Union St
Spencerport, NY 14559 - Phone
- (585) 349-2860
- Fax
- (585) 349-2995
- NPI assigned
- May 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 014745 | NY | Primary |
Addresses
Primary practice location
37 N Union St
Spencerport, NY 14559
Mailing address
37 N Union St
Spencerport, NY 14559
Phone (585) 349-2860
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P030014745 | Other | NY | EXCELLUS BCBS |
| 103396FT | Other | NY | PREFERRED CARE |
| 7103288 | Other | NY | AETNA |
| P010014745 | Other | NY | BLUE CHOICE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014745 | NY | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agape Physical Therapy Services, PC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Brockport, NY
- NPI 1841200649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276732800000",
"number": "1326098591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 N UNION ST",
"city": "SPENCERPORT",
"state": "NY",
"postal_code": "14559",
"telephone_number": "585-349-2860",
"fax_number": "585-349-2995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 N UNION ST",
"city": "SPENCERPORT",
"state": "NY",
"postal_code": "14559",
"telephone_number": "585-349-2860",
"fax_number": "585-349-2995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN SCHAFFEL",
"first_name": "KARIN",
"middle_name": "LEE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-11",
"last_updated": "2010-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "014745",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EXCELLUS BCBS",
"identifier": "P030014745",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "103396FT",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7103288",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE",
"identifier": "P010014745",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spencerport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.