Stacia Robinson Schroeder, DPT

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

License

PT20726 Issued in CA

Practice address

102 Monasterio CT
San Ramon, CA 94583-2139

Phone

(510) 368-5719

NPI assigned

Mar 7, 2019

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1326506478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 MONASTERIO CT",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945832139",
            "telephone_number": "510-368-5719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MONASTERIO CT",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945832139",
            "telephone_number": "510-368-5719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "STACIA",
        "middle_name": "ROBINSON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-07",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CA",
            "license": "PT20726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marq Schisser
• Jennifer Schmidt
• Mia Lisa Schmitt, PSY.D.
• Amelia Schneider
• Haley Schroeder
• David D Schulman
• Otto Maximilian Schutze, RN
• Emmaline Joy Schwartz I
• Gail Schwartz
• Leah Michele Schwenk, MS, CCC-SLP

• Sports Physical Therapist in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Sports Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; 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.