Individual provider Active NPI

Jacob William Schauer, DPT

  • Sports Physical Therapist
  • Hampton, VA
National Provider Identifier
1407595093
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
Practice address
304 Marcella Rd Ste E
Hampton, VA 23666-2578
Phone
(757) 825-9446
NPI assigned
Jun 1, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X Primary
Physical Therapist 225100000X 2305214339 VA

Addresses

Primary practice location

304 Marcella Rd Ste E
Hampton, VA 23666-2578

Mailing address

4701 Lakeview LN
Elm City, NC 27822-8007
Phone (843) 473-5467

Other practice location 1

3253 Taylor Rd Ste 200A
Chesapeake, VA 23321-2452
Phone (757) 881-1137

Other practice location 2

12610 Patrick Henry Dr Ste H
Newport News, VA 23602-9538
Phone (757) 874-1470

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

LicenseStateTypeSpecialty
2305214339VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince Jun 13, 2024 Accepting new patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince Jun 13, 2024 Accepting new patients
Dominion Physical Therapy & Associates Inc. PastSince Jun 5, 2022 Accepting new patients

Locations

2275 Beech Ave
Buena Vista, VA 24416
Phone (540) 466-1000

12610 Patrick Henry Dr
Ste H
Newport News, VA 23602
Phone (757) 847-1470

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25562/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1407595093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 LAKEVIEW LN",
            "city": "ELM CITY",
            "state": "NC",
            "postal_code": "278228007",
            "telephone_number": "843-473-5467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 MARCELLA RD STE E",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662578",
            "telephone_number": "757-825-9446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3253 Taylor Rd Ste 200A",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233212452",
            "country_code": "US",
            "telephone_number": "757-881-1137",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12610 Patrick Henry Dr Ste H",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236029538",
            "country_code": "US",
            "telephone_number": "757-874-1470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHAUER",
        "first_name": "JACOB",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-01",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305214339",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.