Individual provider Active NPI

Scott Schuessler, D.P.T.

  • Physical Therapist
  • Manchester, MO
National Provider Identifier
1326153222
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2002025844 Issued in MO
Practice address
15425 Manchester Rd
Suite 28
Manchester, MO 63011-3077
Phone
(636) 220-6969
Fax
(636) 220-6973
NPI assigned
Aug 20, 2006
Last updated
May 22, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2013

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 2002025844 MO Primary

Addresses

Primary practice location

15425 Manchester Rd
Suite 28
Manchester, MO 63011-3077

Mailing address

100 Woodlake TRL
Pacific, MO 63069-5107
Phone (636) 399-0746

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

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Medical Services LLC Current Accepting new patients
Elite Physical Therapy LLC Physical Therapist PastSince Feb 4, 2013 Accepting new patients

Organizations & group practices 2

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369180800000",
    "number": "1326153222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WOODLAKE TRL",
            "city": "PACIFIC",
            "state": "MO",
            "postal_code": "630695107",
            "telephone_number": "636-399-0746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15425 MANCHESTER RD",
            "address_2": "SUITE 28",
            "city": "MANCHESTER",
            "state": "MO",
            "postal_code": "630113077",
            "telephone_number": "636-220-6969",
            "fax_number": "636-220-6973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUESSLER",
        "first_name": "SCOTT",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2013-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2002025844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; 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.