Individual provider Active NPI

Justin Schomaeker

  • Physical Therapist
  • Bloomington, IN
National Provider Identifier
1356746887
Registry record updated Nov 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05011602A Issued in IN
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

Updated by the provider on Nov 26, 2014

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 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

Enrollment IDStateProvider typePAC IDDetails
I20141112000676 IN Practitioner - Physical Therapist in Private Practice 4385866110 Reassigns benefits to 1 organization

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
Advanced Physical Therapy LLCGroup PAC ID 6002959525, 170 clinicians

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 100Reported as group
Quality
88.48
Improvement activities
40
Cost
72.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Nov 5, 2014 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Nov 5, 2014 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.

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.

Verify at the official NPI Registry.