Individual provider Active NPI

Scott David Schafer, PT

  • Physical Therapist
  • Bridgeville, PA
National Provider Identifier
1487799953
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
DAPT000078 Issued in PA
Practice address
3249 Washington Pike Ste 1102
Bridgeville, PA 15017-1461
Phone
(412) 257-0314
Fax
(412) 257-0317
NPI assigned
Feb 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT015498 PA
Physical Therapist 225100000X DAPT000078 PA Primary
Physical Therapist 225100000X PT16730 FL

Addresses

Primary practice location

3249 Washington Pike Ste 1102
Bridgeville, PA 15017-1461

Mailing address

638 Woodland Rd
Canonsburg, PA 15317-3857
Phone (724) 746-0447

Other identifiers 4

IdentifierTypeStateIssuer
266039OtherPAHEALTHAMERICA PROV NUMBER
6431559OtherPACIGNA PROVIDER NUMBER
7733459OtherPAAETNA PPO EPO
1086009OtherPAAETNA HMO POS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051209000259 PA Practitioner - Physical Therapist in Private Practice 4183645807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3249 Washington Pike
Bridgeville, PA 15017-1461

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT16730FLMDPhysical Therapist
DAPT000078PAMDPhysical Therapist
PT015498PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Schafer Physical Therapy, PC Physical Therapist CurrentSince Aug 15, 2005 Accepting new patients
Burgettstown Physical Therapy, LLC Physical Therapist PastSince Dec 22, 2021 Accepting new patients

Locations

3249 Washington Pike
Ste 1102
Bridgeville, PA 15017
Phone (412) 257-0314

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487799953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 WOODLAND RD",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153173857",
            "telephone_number": "724-746-0447",
            "fax_number": "412-257-0317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3249 WASHINGTON PIKE STE 1102",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150171461",
            "telephone_number": "412-257-0314",
            "fax_number": "412-257-0317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAFER",
        "first_name": "SCOTT",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT015498",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "DAPT000078",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT16730",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHAMERICA PROV NUMBER",
            "identifier": "266039",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER NUMBER",
            "identifier": "6431559",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO EPO",
            "identifier": "7733459",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO POS",
            "identifier": "1086009",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.