Individual provider Active NPI

Daniel Marvin Schieltz, PTA

  • Physical Therapy Assistant
  • Healdsburg, CA
National Provider Identifier
1497429633
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
108883 Issued in IA
Practice address
725 Grove St
Healdsburg, CA 95448-4756
Phone
(707) 687-9633
NPI assigned
Aug 2, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 108883 IA Primary

Addresses

Primary practice location

725 Grove St
Healdsburg, CA 95448-4756

Mailing address

1076 Roosevelt St
Dubuque, IA 52001-8332
Phone (563) 581-2813

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
108883IAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1497429633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1076 ROOSEVELT ST",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520018332",
            "telephone_number": "563-581-2813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 GROVE ST",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "954484756",
            "telephone_number": "707-687-9633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIELTZ",
        "first_name": "DANIEL",
        "middle_name": "MARVIN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-02",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IA",
            "license": "108883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Healdsburg, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.