Kelsey Schaub, DPT, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

63694 Issued in OR

Practice address

1720 SW 4TH Ave Apt 413
Portland, OR 97201-5533

Phone

(971) 420-3301

NPI assigned

Dec 21, 2016

Last updated

Jul 13, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Grays Harbor Community Hospital

  • General Acute Care Hospital
  • Aberdeen, WA
  • NPI 1154378859
  Medicare reassignment NPD
• Grays Harbor Community Hospital

  dba GHCH Westport Clinic

  • Clinic/Center
  • Westport, WA
  • NPI 1497510333
  NPD
• Grays Harbor Community Hospital

  dba Westport Rehab Therapy

  • Rehabilitation Hospital Unit
  • Westport, WA
  • NPI 1598991499
  NPD
• Bay Area Spine & Sport, Inc

  dba Santa Rosa Spine & Sport

  • Physical Therapist
  • Santa Rosa, CA
  • NPI 1316930076
  NPD (past)

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1427593813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 SW 4TH AVE APT 413",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972015533",
            "telephone_number": "971-420-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 SW 4TH AVE APT 413",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972015533",
            "telephone_number": "971-420-3301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5535 S Williamson Blvd",
            "address_2": "Ste. 774",
            "address_purpose": "LOCATION",
            "city": "Port Orange",
            "state": "FL",
            "postal_code": "321288311",
            "country_code": "US",
            "telephone_number": "888-265-2680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHAUB",
        "first_name": "KELSEY",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-21",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT015498",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "43487",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "4646",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "11992",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "CP012030T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "63694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Scharfenberg
• Susan Scharfman
• Wendy Lynn Scharp, CD(DONA), CLC, ICCE
• Janet C. Schatz, OTR/L
• Melissa Schatz
• Philip Schaub, PT, DPT
• Sarah Kathryn Schauer, PHARMD, RPH
• Anna Schaum, LPC
• Thomas Hyland Schaumberg, MD
• Hannah Curtin Schaupp, OTD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.