Individual provider Active NPI

Audrey Alexandra Schmidt, DPT

  • Physical Therapist
  • Worcester, MA
National Provider Identifier
1508473505
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25050 Issued in MA
Practice address
30 Glennie St
Worcester, MA 01605-3917
Phone
(508) 791-8740
Fax
(508) 752-3716
NPI assigned
Sep 24, 2020
Last updated
Sep 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 25050 MA Primary

Addresses

Primary practice location

30 Glennie St
Worcester, MA 01605-3917

Mailing address

30 Glennie St
Worcester, MA 01605-3917
Phone (508) 791-8740

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Worcester
Other URL Worcester

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1508473505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 GLENNIE ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016053917",
            "telephone_number": "508-791-8740",
            "fax_number": "508-752-3716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 GLENNIE ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016053917",
            "telephone_number": "508-791-8740",
            "fax_number": "508-752-3716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "AUDREY",
        "middle_name": "ALEXANDRA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-24",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "25050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Worcester",
            "affiliation": "N",
            "address_1": "30 Glennie St",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016053917",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Worcester",
            "affiliation": "N",
            "address_1": "30 Glennie St",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016053917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.