Active NPI
Russell Eugenio Schneider, PT, DPT
- Physical Therapist
- Blue Bell, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT030933
- Practice address
- 790 Penllyn Blue Bell Pike Ste 101
Blue Bell, PA 19422-1657 - Phone
- (267) 419-8160
- Fax
- (267) 419-8761
- NPI assigned
- Nov 14, 2022
- Last updated
- Dec 5, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PA | ||
| Physical Therapist | 225100000X | 40QA02136400 | NJ | |
| Physical Therapist | 225100000X | PT030933 | PA | Primary |
Addresses
Primary practice location
790 Penllyn Blue Bell Pike Ste 101
Blue Bell, PA 19422-1657
Mailing address
1650 Lyndon Farm CT Ste 300
Louisville, KY 40223-5005
Phone (856) 677-4000
Other practice location 1
740 Marne Hwy Ste 203
Moorestown, NJ 08057-3127
Phone (856) 914-1400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA02136400 | NJ | MD | Physical Therapist |
| PT030933 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Strive Physical Therapy Specialists LLC | Physical Therapist | Current | Accepting new patients |
| Progress Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
| Physical Therapy and Wellness Institute LLC | Physical Therapist | Past | Accepting new patients |
Locations
1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039
740 Marne Hwy
Ste 203
Moorestown, NJ 08057
Phone (856) 914-1400
790 Penllyn Pike
Ste 101
Blue Bell, PA 19422
Phone (267) 419-8160
1075 Virginia Dr
Ste 200
Ft Washington, PA 19034
Phone (215) 619-4545
5479 Pottsville Pike
Ste 200
Leesport, PA 19533
Phone (610) 926-6778
2 Penn Ctr
Ste 450
Philadelphia, PA 19102
Phone (215) 454-2812
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Philadelphia, PA
- NPI 1659962587
Physical Therapist
-
- Physical Therapist
- Lansdale, PA
- NPI 1740208339
-
- Physical Therapist
- Philadelphia, PA
- NPI 1164851085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670198400000",
"number": "1528776994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 LYNDON FARM CT STE 300",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402235005",
"telephone_number": "856-677-4000",
"fax_number": "856-234-3014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 PENLLYN BLUE BELL PIKE STE 101",
"city": "BLUE BELL",
"state": "PA",
"postal_code": "194221657",
"telephone_number": "267-419-8160",
"fax_number": "267-419-8761"
}
],
"practiceLocations": [
{
"address_1": "740 Marne Hwy Ste 203",
"address_purpose": "LOCATION",
"city": "Moorestown",
"state": "NJ",
"postal_code": "080573127",
"country_code": "US",
"telephone_number": "856-914-1400",
"fax_number": "856-914-1444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHNEIDER",
"first_name": "RUSSELL",
"middle_name": "EUGENIO",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-11-14",
"last_updated": "2022-12-05",
"certification_date": "2022-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA02136400",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT030933",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blue Bell, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.