Individual provider Active NPI

Robert Tyler Schnitzler

  • Chiropractor
  • Manassas, VA
National Provider Identifier
1417487497
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104557409 Issued in VA
Practice address
9413 Innovation Dr
Manassas, VA 20110-2224
Phone
(571) 295-5843
NPI assigned
Jun 13, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104557409 VA Primary

Addresses

Primary practice location

9413 Innovation Dr
Manassas, VA 20110-2224

Mailing address

1597 Sheldon LN
Catlett, VA 20119-2442
Phone (814) 777-4064

Other practice location 1

336 James Madison Hwy
Culpeper, VA 22701-2320
Phone (571) 295-5843

Other identifiers 1

IdentifierTypeStateIssuer
0104557409OtherVAVIRGINIA LICENSE

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

Practice roles

OrganizationSpecialtyStatusNew patients
Active Reload Chiropractic and Functional Rehab LLC Chiropractor CurrentSince Jun 18, 2023 Accepting new patients

Locations

336 James Madison Hwy
Culpeper, VA 22701
Phone (571) 295-5843

9413 Innovation Dr
Manassas, VA 20110
Phone (571) 295-5843

Organizations & group practices 1

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": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1417487497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1597 SHELDON LN",
            "city": "CATLETT",
            "state": "VA",
            "postal_code": "201192442",
            "telephone_number": "814-777-4064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9413 INNOVATION DR",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201102224",
            "telephone_number": "571-295-5843"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "336 James Madison Hwy",
            "address_purpose": "LOCATION",
            "city": "Culpeper",
            "state": "VA",
            "postal_code": "227012320",
            "country_code": "US",
            "telephone_number": "571-295-5843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHNITZLER",
        "first_name": "ROBERT",
        "middle_name": "TYLER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-13",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA LICENSE",
            "identifier": "0104557409",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

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