Active NPI
Marissa Loren Schedcik, PT
- Physical Therapist
- Dallas, TX
National Provider Identifier
1376202283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1347388
- Practice address
- 5303 Harry Hines Blvd # 5.101
Dallas, TX 75390-7208 - Phone
- (214) 645-2080
- NPI assigned
- Dec 8, 2021
- 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 | 1347388 | TX | Primary |
Addresses
Primary practice location
5303 Harry Hines Blvd # 5.101
Dallas, TX 75390-7208
Mailing address
655 Promenade Apt 5004
Irving, TX 75039-1218
Phone (940) 393-9881
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 |
|---|---|---|---|
| 1347388 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H2 Health Pelvic Services LLC | Past | Accepting new patients | |
| Texas Health Care, P.L.L.C. | Physical Therapist | Past | 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.
-
- Physical Therapy Clinic/Center
- Fort Worth, TX
- NPI 1396660387
-
- Family Medicine Physician
- Fort Worth, TX
- NPI 1821026352
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638921600000",
"number": "1376202283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 PROMENADE APT 5004",
"city": "IRVING",
"state": "TX",
"postal_code": "750391218",
"telephone_number": "940-393-9881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5303 HARRY HINES BLVD # 5.101",
"city": "DALLAS",
"state": "TX",
"postal_code": "753907208",
"telephone_number": "214-645-2080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHEDCIK",
"first_name": "MARISSA",
"middle_name": "LOREN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-08",
"last_updated": "2021-12-08",
"certification_date": "2021-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1347388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.