Individual provider Active NPI

Luke Thomas Schaefer, DPT

  • Physical Therapist
  • Naples, FL
National Provider Identifier
1467915199
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT35611 Issued in FL
Practice address
13020 Livingston Road, Suite 14
Naples, FL 34105-5021
Phone
(239) 263-3330
Fax
(716) 568-1253
NPI assigned
Apr 10, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 043480 NY
Physical Therapist 225100000X PT35611 FL Primary

Addresses

Primary practice location

13020 Livingston Road, Suite 14
Naples, FL 34105-5021

Mailing address

13020 Livingston Road, Suite 14
Naples, FL 34105-5021
Phone (239) 263-3330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MN3 enrollments
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220615002458 FL Practitioner - Physical Therapist in Private Practice 7012246838 Reassigns benefits to 1 organization
I20230809002436 MN Practitioner - Physical Therapist in Private Practice 7012246838 Reassigns benefits to 1 organization
I20240711001555 MN Practitioner - Physical Medicine and Rehabilitation 7012246838 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
043480NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Perham Physical Therapy LTD. Physical Therapist CurrentSince Jun 12, 2023 Accepting new patients
Pathways Chiropractic Health Center of Prior Lake, PA CurrentSince Apr 28, 2024 Accepting new patients
Synergy Integrated Healthcare Inc Physical Therapist CurrentSince Mar 4, 2022 Accepting new patients
Life Wellness Center, Inc. Physical Therapist CurrentSince Apr 12, 2024 Accepting new patients
Pathways Chiropractic Health Center of Savage, P.a. Current Accepting new patients
Life Wellness Center-Eagan, PA Physical Therapist PastSince Apr 12, 2024 Accepting new patients
Synergy Chiropractic and Health Center PA PastSince Jun 14, 2020 Accepting new patients

Locations

13020 Livingston Rd
Ste 14
Naples, FL 34105
Phone (239) 263-3330

11995 Singletree Ln
Ste 120
Eden Prairie, MN 55344
Phone (952) 373-5720

10551 165th St W
Lakeville, MN 55044
Phone (952) 435-5300

Organizations & group practices 7

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": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1467915199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13020 LIVINGSTON ROAD, SUITE 14",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341055021",
            "telephone_number": "239-263-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13020 LIVINGSTON ROAD, SUITE 14",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341055021",
            "telephone_number": "239-263-3330",
            "fax_number": "716-568-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEFER",
        "first_name": "LUKE",
        "middle_name": "THOMAS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-10",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "043480",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT35611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.