Individual provider Active NPI

Kali O'Ryan-Snuggs Schafer, PT

  • Physical Therapist
  • Sherwood, AR
National Provider Identifier
1366009391
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT4932 Issued in AR
Practice address
1540 Country Club Rd
Sherwood, AR 72120-5095
Phone
(501) 753-5459
NPI assigned
May 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P18781 NC
Physical Therapist 225100000X PT4932 AR Primary

Addresses

Primary practice location

1540 Country Club Rd
Sherwood, AR 72120-5095

Mailing address

1540 Country Club Rd
Sherwood, AR 72120-5095
Phone (501) 753-5459

Other practice location 1

3100 Duraleigh Rd Ste 100
Raleigh, NC 27612-8105
Phone (919) 788-8797

Other practice location 2

6420 S General Bruce Dr
Temple, TX 76502-5830
Phone (254) 399-8255

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

State licenses

LicenseStateTypeSpecialty
PT4932ARMDPhysical Therapist
P18781NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Karen Siran-Loughery Otr/L Inc. Physical Therapist Past Accepting new patients
Elite Therapy Services, LLC PastSince Oct 1, 2020 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1366009391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 COUNTRY CLUB RD",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721205095",
            "telephone_number": "501-753-5459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 COUNTRY CLUB RD",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721205095",
            "telephone_number": "501-753-5459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 Duraleigh Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276128105",
            "country_code": "US",
            "telephone_number": "919-788-8797",
            "fax_number": "919-313-1276",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6420 S General Bruce Dr",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765025830",
            "country_code": "US",
            "telephone_number": "254-399-8255",
            "fax_number": "254-235-3408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHAFER",
        "first_name": "KALI",
        "middle_name": "O'RYAN-SNUGGS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-24",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P18781",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT4932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherwood, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.