Nicole Schouten, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

415 E Avenida Pico Ste M
San Clemente, CA 92672-3800

Phone

(949) 245-6581

NPI assigned

Aug 25, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1508585191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14552 HIGHCREST CIR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926042437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E AVENIDA PICO STE M",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926723800",
            "telephone_number": "949-245-6581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOUTEN",
        "first_name": "NICOLE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.prnpt.com/locations/301/California-Rehabilitation-and-Sports-Therapy-San-Clemente/San-Clemente/location-details",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "415 E Avenida Pico Ste M",
            "city": "San Clemente",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926723800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amber M Scheppers-Barr
• Krystiana Schiffli
• Dawn Schnaidt, R.D.H.
• Sue Carolyn Schoensiegel, CAREGIVER
• Anthony Ly Schofer, P.T.A.
• Darcy Schroer, PA
• Allen J Schultz, DDS
• Scor Physical Therapy Inc
• Cory Amber Scurlock, LMT
• Sea View Orthopaedic Medical Group Apc

• Physical Therapy Assistant in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.