Individual provider Active NPI

Clarence Raymond Schaney, PT, DSC, ECS

  • Clinical Electrophysiology Physical Therapist
  • Erie, PA
National Provider Identifier
1538134093
Registry record updated Apr 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Electrophysiology Physical TherapistTaxonomy code 2251E1300X
License
PT002944L Issued in PA
Practice address
300 State Street
Suite 209
Erie, PA 16507-1428
Phone
(814) 454-5251
Fax
(814) 459-1884
NPI assigned
Feb 20, 2006
Last updated
Apr 22, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Electrophysiology Physical Therapist 2251E1300X DAPT000361 PA
Clinical Electrophysiology Physical Therapist 2251E1300X PT002944L PA Primary

Addresses

Primary practice location

300 State Street
Suite 209
Erie, PA 16507-1428

Mailing address

300 State Street
Suite 209
Erie, PA 16507-1428
Phone (814) 454-5251

Other identifiers 1

IdentifierTypeStateIssuer
1028777270001MedicaidPA

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

State licenses

LicenseStateTypeSpecialty
DAPT000361PAMDClinical Electrophysiology Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429660800000",
    "number": "1538134093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 STATE STREET",
            "address_2": "SUITE 209",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071428",
            "telephone_number": "814-454-5251",
            "fax_number": "814-459-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STATE STREET",
            "address_2": "SUITE 209",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071428",
            "telephone_number": "814-454-5251",
            "fax_number": "814-459-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHANEY",
        "first_name": "CLARENCE",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "PT, DSC, ECS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-20",
        "last_updated": "2015-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251E1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": "PA",
            "license": "DAPT000361",
            "primary": false
        },
        {
            "code": "2251E1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": "PA",
            "license": "PT002944L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1028777270001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.