NPIMap

Organization Active NPI

Schaack Physical Therapy PC

  • Physical Therapist
  • Lincoln, CA
National Provider Identifier
1477987261
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SCHAACK PHYSICAL THERAPY PC
Practice address
801 Sterling Pkwy
Ste 150
Lincoln, CA 95648-7326
Phone
(916) 543-7900
NPI assigned
Aug 28, 2013
Last updated
Aug 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2013

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

Authorized official

Name
Michael G Schaack, RPTNPI 1982636940
Title
President
Phone
(916) 543-7900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X CA Primary

Addresses

Primary practice location

801 Sterling Pkwy
Ste 150
Lincoln, CA 95648-7326

Mailing address

11344 Coloma Rd
Ste 680
Gold River, CA 95670-4457
Phone (916) 353-2270

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140617001707 CA Part B Supplier - Clinic/Group Practice 0143444992 Receives reassigned benefits from 18 practitioners
Practice locations: Lincoln, CA; Roseville, CA

National Provider Directory

National Provider Directory

Locations

2330 E Bidwell St
Ste 130
Folsom, CA 95630

11344 Coloma Rd
Ste 680
Gold River, CA 95670
Phone (916) 853-0255

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377648000000",
    "number": "1477987261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11344 COLOMA RD",
            "address_2": "STE 680",
            "city": "GOLD RIVER",
            "state": "CA",
            "postal_code": "956704457",
            "telephone_number": "916-353-2270",
            "fax_number": "916-353-2279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 STERLING PKWY",
            "address_2": "STE 150",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "956487326",
            "telephone_number": "916-543-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHAACK PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-28",
        "last_updated": "2013-08-28",
        "status": "A",
        "authorized_official_last_name": "SCHAACK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-543-7900",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; 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.