Active NPI
Jeremy Wayne Schmidt, DPT
- Physical Therapist
- Castle Rock, CO
National Provider Identifier
1366672487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10495
- Practice address
- 4284 Trail Boss Dr
Ste 130
Castle Rock, CO 80104-7521 - Phone
- (303) 663-8289
- Fax
- (303) 663-8289
- NPI assigned
- Jul 23, 2009
- 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 | 10495 | CO | Primary |
Addresses
Primary practice location
4284 Trail Boss Dr
Ste 130
Castle Rock, CO 80104-7521
Mailing address
1130 Dayton St
Aurora, CO 80010-3205
Phone (913) 461-7579
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10495 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248307200000",
"number": "1366672487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 DAYTON ST",
"city": "AURORA",
"state": "CO",
"postal_code": "800103205",
"telephone_number": "913-461-7579",
"fax_number": "303-663-8289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4284 TRAIL BOSS DR",
"address_2": "STE 130",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801047521",
"telephone_number": "303-663-8289",
"fax_number": "303-663-8289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMIDT",
"first_name": "JEREMY",
"middle_name": "WAYNE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-23",
"last_updated": "2009-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "10495",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Castle Rock, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.