Mark D Schroeckenstein, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9478 Issued in MN

Practice address

1012 Diffley Rd
Eagan, MN 55123-1778

Phone

(952) 835-4512

Fax

(877) 609-0123

NPI assigned

Jan 18, 2007

Last updated

Oct 14, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Infinite Health Collaborative, PAGroup PAC ID 1052225042, 815 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.79 of 100Reported as group

Quality

95.08

Improvement activities

40

Cost

81.67

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/28265/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Infinite Health Collaborative, PA

  • Orthopaedic Surgery Physician
  • Bloomington, MN
  • NPI 1164474250

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Hopkins Health and Wellness Center PA

  dba DMR Clinic Woodbury

  • Chiropractor
  • Hopkins, MN
  • NPI 1396932067
  Medicare reassignment NPD
• Park Nicollet Clinic

  • Family Medicine Physician
  • St Louis Park, MN
  • NPI 1780621904
  Medicare reassignment NPD
• Park Nicollet Clinic

  • Family Medicine Physician
  • St Louis Park, MN
  • NPI 1063897593
  NPD
• Infinite Health Collaborative, PA

  • Durable Medical Equipment & Medical Supplies
  • Hudson, WI
  • NPI 1568840916
  NPD
• Select Urgent Care LLC

  • Clinic/Center
  • Baxter, MN
  • NPI 1952063158
  NPD (past)
• G Sports Physical Therapy, Inc.

  • Physical Therapist
  • Berkeley, CA
  • NPI 1396044194
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1427101286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 DIFFLEY RD",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551231778",
            "telephone_number": "952-835-4512",
            "fax_number": "877-609-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 DIFFLEY RD",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551231778",
            "telephone_number": "952-835-4512",
            "fax_number": "877-609-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROECKENSTEIN",
        "first_name": "MARK",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT32436",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "9478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan H Schoenecker, DPT, CSCS
• Sara Schott
• Adam Schraber
• Emilie-Hannah Schreiber
• Jayde Lynn Schroder
• Nicholas Theodore Schulte, DDS, MPH
• Kristina Marie Schultz, D.O.
• Melisa Marie Schultz, PA-C
• Jennifer Schulz, D.C.
• Catherine Claire Schwartz, OTR/L

• Physical Therapist in Eagan, MN
• Providers in Eagan, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.