Active NPI
Justin Schomaeker
- Physical Therapist
- Bloomington, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05011602A
- Practice address
- 1312 W Arch Haven Ave BLDG 1320
Ste E
Bloomington, IN 47403-2089 - Phone
- (812) 336-8406
- Fax
- (812) 336-8342
- NPI assigned
- Oct 27, 2014
- Sex
- Male
- 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 | 05011602A | IN | Primary |
Addresses
Primary practice location
1312 W Arch Haven Ave BLDG 1320
Ste E
Bloomington, IN 47403-2089
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1312 W Arch Haven Ave
BLDG 1320 Suite E
Bloomington, IN 47403-2088
Phone (812) 336-8406
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.3 of 100
- Quality
- 88.48
- Improvement activities
- 40
- Cost
- 72.11
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Advanced Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
2488 S Walnut St
Bloomington, IN 47401
Phone (812) 287-8044
822 S Auto Mall Rd
Bloomington, IN 47401
Phone (812) 668-1781
4265 N Cypress Ln
Bloomington, IN 47404
Phone (812) 727-0047
1312 W Arch Haven Ave
Ste E
Bloomington, IN 47403
Phone (812) 336-8406
2467 W Jonathan Moore Pike
Columbus, IN 47201
Phone (812) 314-7013
1675 N National Rd
Columbus, IN 47201
Phone (812) 799-1257
3519 N Green River Rd
Evansville, IN 47715
Phone (812) 437-1420
5949 W Raymond St
Indianapolis, IN 46241
Phone (317) 247-1579
369 Grand Valley Blvd
Martinsville, IN 46151
Phone (765) 349-9255
200 S Obrien St
Seymour, IN 47274
Phone (812) 522-9574
5399 S US Highway 41
Ste 113
Terre Haute, IN 47802
Phone (812) 298-8883
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 and National Provider Directory roles.
-
- Physical Therapist
- Indianapolis, IN
- NPI 1316940505
-
- Durable Medical Equipment & Medical Supplies
- Indianapolis, IN
- NPI 1700595089
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416960000000",
"number": "1356746887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1312 W ARCH HAVEN AVE BLDG 1320",
"address_2": "STE E",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474032089",
"telephone_number": "812-336-8406",
"fax_number": "812-336-8342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOMAEKER",
"first_name": "JUSTIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-27",
"last_updated": "2014-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05011602A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.