Active NPI
Roberta R Schullek, P.T.
- Physical Therapist
- Plymouth Meeting, PA
National Provider Identifier
1366564833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT015713
- Practice address
- 2250 Hickory Rd Ste 240
Plymouth Meeting, PA 19462-2225 - Phone
- (610) 834-1122
- Fax
- (610) 834-7525
- NPI assigned
- Apr 4, 2007
- Sex
- Female
- 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 | PT015713 | PA | Primary |
Addresses
Primary practice location
2250 Hickory Rd Ste 240
Plymouth Meeting, PA 19462-2225
Mailing address
137 Fawn Valley Dr
McMurray, PA 15317-2705
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
441 Valley Brook Rd
MC Murray, PA 15317-3338
Phone (724) 942-8150
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT015713 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabcare Group East, LLC | Current | Accepting new patients | |
| Rehabcare Group East, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1537 Washington Rd
Pittsburgh, PA 15228
Phone (412) 341-4400
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.
-
- Rehabilitation Clinic/Center
- Johnstown, PA
- NPI 1770537821
Physical Therapist
-
- Physical Medicine & Rehabilitation Physician
- Waco, TX
- NPI 1215806898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366564833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "137 FAWN VALLEY DR",
"city": "MCMURRAY",
"state": "PA",
"postal_code": "153172705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 HICKORY RD STE 240",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "194622225",
"telephone_number": "610-834-1122",
"fax_number": "610-834-7525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULLEK",
"first_name": "ROBERTA",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT015713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth Meeting, PA
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.
- 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.