Individual provider Active NPI

Todd Schemper, PT

  • Physical Therapist
  • Des Moines, IA
National Provider Identifier
1376624155
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
02966 Issued in IA
Practice address
516 3Rd St Ste 100
Des Moines, IA 50309-1771
Phone
(515) 309-4706
Fax
(515) 309-4708
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 02966 IA Primary

Addresses

Primary practice location

516 3Rd St Ste 100
Des Moines, IA 50309-1771

Mailing address

4220 Grand Ave Apt 7
Des Moines, IA 50312-2453

Other identifiers 2

IdentifierTypeStateIssuer
35748OtherIAWELLMARK
0449553MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040308001124 IA Practitioner - Physical Therapist in Private Practice 5991693335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Work Systems Rehab PCGroup PAC ID 5193619625, 35 clinicians

Practice addresses (Care Compare)

1011 N 18TH St
Kinetic Edge Physical Therapy
Centerville, IA 52544-1117
Phone (641) 856-2515

516 3Rd St
Des Moines, IA 50309-1774
Phone (515) 309-4706

551 N F St K
Kinetic Edge Physical Therapy
Albia, IA 52531-1240
Phone (641) 932-0250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
02966IAMDFamily Medicine Physician
1082SDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Work Systems Rehab, PC Physical Therapist CurrentSince Jul 17, 2010 Accepting new patients

Locations

6000 Grand Ave
Ste K
Des Moines, IA 50312
Phone (515) 309-4706

516 3rd St
Ste 100
Des Moines, IA 50309
Phone (515) 309-4706

516 3rd St
Des Moines, IA 50309
Phone (515) 309-4706

604 Liberty St
Ste 227
Pella, IA 50219
Phone (641) 204-0046

Organizations & group practices 1

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376624155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 GRAND AVE APT 7",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503122453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 3RD ST STE 100",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091771",
            "telephone_number": "515-309-4706",
            "fax_number": "515-309-4708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEMPER",
        "first_name": "TODD",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "02966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "35748",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0449553",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

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.

Verify at the official NPI Registry.