Individual provider Active NPI

Chad Schmeeckle, PT, DPT

  • Physical Therapist
  • Frisco, TX
National Provider Identifier
1417348723
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1253847 Issued in TX
Practice address
3800 Gaylord Pkwy Ste 130
Frisco, TX 75034
Phone
(214) 872-1699
Fax
(214) 872-1920
NPI assigned
Feb 9, 2015
Last updated
Jul 24, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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 1253847 TX Primary

Addresses

Primary practice location

3800 Gaylord Pkwy Ste 130
Frisco, TX 75034

Mailing address

3800 Gaylord Pkwy Ste 130
Frisco, TX 75034-9418
Phone (214) 872-1699

Other practice location 1

4108 Boat Club Road
Fort Worth, TX 76135
Phone (817) 370-9891

Other identifiers 1

IdentifierTypeStateIssuer
192079501MedicaidTX

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1253847TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sportherapy LLC Physical Therapist PastSince Sep 1, 2019 Accepting new patients
Bir JV LLP PastSince Jul 28, 2019 Accepting new patients
Sportherapy Southwest, PC Physical Therapist Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1423440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1417348723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 GAYLORD PKWY STE 130",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349418",
            "telephone_number": "214-872-1699",
            "fax_number": "214-872-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 GAYLORD PKWY STE 130",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75034",
            "telephone_number": "214-872-1699",
            "fax_number": "214-872-1920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4108 Boat Club Road",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "76135",
            "country_code": "US",
            "telephone_number": "817-370-9891",
            "fax_number": "817-370-9894",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHMEECKLE",
        "first_name": "CHAD",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-09",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1253847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192079501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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.