Active NPI
Nicole Trzeciak Schenkel, PT
- Physical Therapist
- Panama City, FL
National Provider Identifier
1386669737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT21597
- Practice address
- 2101 Northside Dr.
Suite 502
Panama City, FL 32405 - Phone
- (850) 913-7040
- NPI assigned
- Jul 13, 2006
- 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 | PT21597 | FL | Primary |
Addresses
Primary practice location
2101 Northside Dr.
Suite 502
Panama City, FL 32405
Mailing address
2107 Country Club Dr
Lynn Haven, FL 32444-1991
Phone (352) 870-6826
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1827 Harrison Ave
Panama City, FL 32405-7605
Phone (850) 785-4344
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.79 of 100
- Quality
- 64.42
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.88
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT21597 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic Associates, PA | Current | Accepting new patients | |
| Orthopaedic Associates PA | Current | Accepting new patients | |
| Brain and Spine LLC | Past | Accepting new patients |
Locations
1034 Mar Walt Dr
Unit 100
Ft Walton Bch, FL 32547
Phone (850) 315-9210
1827 Harrison Ave
Panama City, FL 32405
Phone (850) 785-4344
Interoperability endpoints
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/0000070
- nicole.schenkel.1@9109.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- Panama City, FL
- NPI 1407892938
-
- Orthopaedic Surgery Physician
- Fort Walton Beach, FL
- NPI 1467589010
-
- Orthopaedic Surgery Physician
- Panama City, FL
- NPI 1255001350
-
- Neurology Physician
- Panama City, FL
- NPI 1942317896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386669737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2107 COUNTRY CLUB DR",
"city": "LYNN HAVEN",
"state": "FL",
"postal_code": "324441991",
"telephone_number": "352-870-6826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 NORTHSIDE DR.",
"address_2": "SUITE 502",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "32405",
"telephone_number": "850-913-7040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHENKEL",
"first_name": "NICOLE",
"middle_name": "TRZECIAK",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT21597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
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.