Individual provider Active NPI

Victoria Brady Schober, PT, DPT

  • Physical Therapist
  • Pensacola, FL
National Provider Identifier
1407554348
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02072200 Issued in NJ
Practice address
1108 Airport Blvd Ste C
Pensacola, FL 32504-8623
Phone
(850) 483-0586
NPI assigned
Feb 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT41464 FL
Physical Therapist 225100000X J1-0014522 DE
Physical Therapist 225100000X 40QA02072200 NJ Primary

Addresses

Primary practice location

1108 Airport Blvd Ste C
Pensacola, FL 32504-8623

Mailing address

1108 Airport Blvd Ste C
Pensacola, FL 32504-8623
Phone (850) 483-0586

Other names 1

  • Victoria Sandra Brady Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240624001650 FL Practitioner - Physical Therapist in Private Practice 3476096017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inher Physique LLCGroup PAC ID 9739575465, 4 clinicians

Practice addresses (Care Compare)

1108 Airport Blvd
Suite C
Pensacola, FL 32504-8623
Phone (850) 483-0586

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
J1-0014522DEMDPhysical Therapist
40QA02072200NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Inher Physique LLC CurrentSince Apr 21, 2024 Accepting new patients
Inher Physique LLC Physical Therapist CurrentSince May 14, 2024 Accepting new patients

Locations

1108 Airport Blvd
Ste C
Pensacola, FL 32504
Phone (850) 450-2081

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1407554348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 AIRPORT BLVD STE C",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048623",
            "telephone_number": "850-483-0586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 AIRPORT BLVD STE C",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048623",
            "telephone_number": "850-483-0586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOBER",
        "first_name": "VICTORIA",
        "middle_name": "BRADY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-20",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT41464",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0014522",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02072200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "BRADY",
            "middle_name": "SANDRA",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.