Jacob Alan Schneller, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

61052 Issued in OR

Practice address

10121 SE Sunnyside Rd Ste 208
Clackamas, OR 97015-5750

Phone

(503) 427-2956

Fax

(503) 427-2957

NPI assigned

Jun 11, 2015

Last updated

Jun 11, 2015By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sportscare Physical Therapy @ Cornell, LLCGroup PAC ID 7517115579, 36 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Sportscare Physical Therapy @ Cornell, LLC

  • Physical Therapy Clinic/Center
  • Beaverton, OR
  • NPI 1649534793
  Medicare reassignment Care Compare group NPD
• Sportscare Physical Therapy @ Cornell, LLC

  • Durable Medical Equipment & Medical Supplies
  • Tigard, OR
  • NPI 1255190153
  NPD

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433980800000",
    "number": "1427439843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10121 SE SUNNYSIDE RD STE 208",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155750",
            "telephone_number": "503-427-2956",
            "fax_number": "503-427-2957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10121 SE SUNNYSIDE RD STE 208",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155750",
            "telephone_number": "503-427-2956",
            "fax_number": "503-427-2957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNELLER",
        "first_name": "JACOB",
        "middle_name": "ALAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-11",
        "last_updated": "2015-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "61052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Martin Schmidt, M.D.
• Jay Melvin Schmidt, PA C
• Teresa Marie Schmidt, PT
• Lisa Jo Schnackenberg, RN, MS, FNP
• Jennifer Marie Schneider, QMHA-1, CADC-R, NCMA
• Julianna Madar Schopper, CRNA
• Carolyn Anne Schroeder, LMFT, CFLE
• Hannah N. Schroeder, RN, CNM
• Rebecah Schwartz, M.D.
• Salena Michelle Schwartz, LCSW, LICSW

• Physical Therapist in Clackamas, OR
• Providers in Clackamas, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; 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.