Active NPI
Mark Andrew Schroeder, MS PT
- Physical Therapist
- Monterey, CA
National Provider Identifier
1548301815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1660
- Practice address
- 1388 Plummer St Presidio of Monterey
Cpac, BLDG 277
Monterey, CA 93944-5006 - Phone
- (831) 242-6754
- NPI assigned
- Feb 9, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1660 | HI | Primary |
Addresses
Primary practice location
1388 Plummer St Presidio of Monterey
Cpac, BLDG 277
Monterey, CA 93944-5006
Mailing address
5325 Terra Granada Dr Apt 1B
Walnut Creek, CA 94595-4078
Phone (831) 747-0455
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1660 | HI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400457600000",
"number": "1548301815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5325 TERRA GRANADA DR APT 1B",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945954078",
"telephone_number": "831-747-0455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1388 PLUMMER ST PRESIDIO OF MONTEREY",
"address_2": "CPAC, BLDG 277",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939445006",
"telephone_number": "831-242-6754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHROEDER",
"first_name": "MARK",
"middle_name": "ANDREW",
"credential": "MS PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-09",
"last_updated": "2014-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "1660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monterey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.