Gavin Randall Schneider, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3896 Issued in NE

Practice address

13205 F St
Omaha, NE 68137-1131

Phone

(402) 590-5818

NPI assigned

Jun 11, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Stronger Physical Therapy and Performance, LLC

  • Physical Therapist
  • Omaha, NE
  • NPI 1518561208
  NPD Authorized official

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

{
    "created_epoch": "1497139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1346779485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13585 GOLD ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13205 F ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681371131",
            "telephone_number": "402-590-5818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "207 S Burlington Ave",
            "address_purpose": "LOCATION",
            "city": "Hastings",
            "state": "NE",
            "postal_code": "689015905",
            "country_code": "US",
            "telephone_number": "402-462-8824",
            "fax_number": "402-462-8017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "GAVIN",
        "middle_name": "RANDALL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-11",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "62255",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "3896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF OREGON LICENSE",
            "identifier": "62255",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEBRASKA DEPARTMENT OF HEALTH & HUMAN SERVICES",
            "identifier": "3896",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacey Schneekloth
• Bridgette Brenny Schneider
• Carla J. Schneider, PA-C
• Delaney Schneider
• Eric D Schneider, M.D.
• Jacob James Schneider, MD
• Kara Marceil Schneider, PLMHP, NCC
• Karly Katherine Schneider, RD
• Kathryn Patricia Schneider, D.D.S.
• Marlene Ann Schneider, LADC

• Physical Therapist in Omaha, NE
• Providers in Omaha, NE by specialty
• Physical Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.