Individual provider Active NPI

Mark P. Schieber, P.T.

  • Physical Therapist
  • Mount Laurel, NJ
National Provider Identifier
1356359509
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00945600 Issued in NJ
Practice address
3131 State Hwy 38 W
Ste 16
Mount Laurel, NJ 08054-9757
Phone
(856) 235-0080
Fax
(856) 235-0899
NPI assigned
Aug 4, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 40QA00945600 NJ Primary

Addresses

Primary practice location

3131 State Hwy 38 W
Ste 16
Mount Laurel, NJ 08054-9757

Mailing address

3131 State Hwy 38 W
Ste 16
Mount Laurel, NJ 08054-9757
Phone (856) 235-0080

Other identifiers 2

IdentifierTypeStateIssuer
1452990OtherNJPPO PROV - AMERIHEALTH
2423001000OtherNJHMO PROV - AMERIHEALTH

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
Vital Medical Care, LLC Past 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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356359509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 STATE HWY 38 W",
            "address_2": "STE 16",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080549757",
            "telephone_number": "856-235-0080",
            "fax_number": "856-235-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 STATE HWY 38 W",
            "address_2": "STE 16",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080549757",
            "telephone_number": "856-235-0080",
            "fax_number": "856-235-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIEBER",
        "first_name": "MARK",
        "middle_name": "P.",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00945600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPO PROV - AMERIHEALTH",
            "identifier": "1452990",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO PROV - AMERIHEALTH",
            "identifier": "2423001000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.