Individual provider Active NPI

Katie Porter Schaal, PT

  • Orthopedic Physical Therapist
  • Cape Girardeau, MO
National Provider Identifier
1447522065
Registry record updated Apr 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
2011021990 Issued in MO
Practice address
3047 William St Ste 100
Cape Girardeau, MO 63703-6569
Phone
(573) 339-5989
Fax
(573) 339-7092
NPI assigned
Jan 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 2011021990 MO Primary

Addresses

Primary practice location

3047 William St Ste 100
Cape Girardeau, MO 63703-6569

Mailing address

3047 William St Ste 100
Cape Girardeau, MO 63703-6569
Phone (573) 339-5989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180502002816 MO Practitioner - Physical Therapist in Private Practice 8224392030 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2011021990MOMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabcare Group East LLC Past Accepting new patients

Organizations & group practices 2

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": "1327622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523404800000",
    "number": "1447522065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3047 WILLIAM ST STE 100",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637036569",
            "telephone_number": "573-339-5989",
            "fax_number": "573-339-7092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3047 WILLIAM ST STE 100",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637036569",
            "telephone_number": "573-339-5989",
            "fax_number": "573-339-7092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAAL",
        "first_name": "KATIE",
        "middle_name": "PORTER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-27",
        "last_updated": "2018-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MO",
            "license": "2011021990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; 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.