Individual provider Active NPI

Nicole Trzeciak Schenkel, PT

  • Physical Therapist
  • Panama City, FL
National Provider Identifier
1386669737
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT21597 Issued in FL
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

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 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

Enrollment IDStateProvider typePAC IDDetails
I20070420000375 FL Practitioner - Physical Therapist in Private Practice 7012012958 Reassigns benefits to 2 organizations

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
Southern Orthopedic Specialists PAGroup PAC ID 4082511001, 21 clinicians

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 100Reported as group
Quality
64.42
Promoting interoperability
100
Improvement activities
40
Cost
74.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT21597FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Associates, PA CurrentSince Oct 20, 2021 Accepting new patients
Orthopaedic Associates PA CurrentSince Oct 20, 2021 Accepting new patients
Brain and Spine LLC PastSince Jun 1, 2010 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

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/0000070
  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.