NPIMap

Organization Active NPI

Schaal Physical Therapy and Fitness

  • Physical Therapist
  • Burlington, CO
National Provider Identifier
1548698756
Registry record updated Apr 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL0011362 Issued in CO
Legal business name
SCHAAL PHYSICAL THERAPY AND FITNESS
Practice address
942 Rose Ave
Burlington, CO 80807-1815
Phone
(719) 346-6050
Fax
(719) 346-5509
NPI assigned
Oct 25, 2013
Last updated
Apr 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2014

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

Authorized official

Name
Jennifer Lynn SchaalNPI 1609203215
Title
Owner
Phone
(719) 346-6050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL0011362 CO Primary

Addresses

Primary practice location

942 Rose Ave
Burlington, CO 80807-1815

Mailing address

942 Rose Ave
Burlington, CO 80807-1815
Phone (719) 346-6050

Other identifiers 1

IdentifierTypeStateIssuer
54535743MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140407000749 CO Part B Supplier - Clinic/Group Practice 5193957132 Receives reassigned benefits from 5 practitioners
Practice locations: Burlington, CO

National Provider Directory

National Provider Directory
Tax ID family
Schaal Physical Therapy and Fitness2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

233 S 9th St
Burlington, CO 80807
Phone (719) 346-7403

942 Rose Ave
Burlington, CO 80807
Phone (719) 346-6050

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1382659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396828800000",
    "number": "1548698756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "942 ROSE AVE",
            "city": "BURLINGTON",
            "state": "CO",
            "postal_code": "808071815",
            "telephone_number": "719-346-6050",
            "fax_number": "719-346-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "942 ROSE AVE",
            "city": "BURLINGTON",
            "state": "CO",
            "postal_code": "808071815",
            "telephone_number": "719-346-6050",
            "fax_number": "719-346-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHAAL PHYSICAL THERAPY AND FITNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-25",
        "last_updated": "2014-04-07",
        "status": "A",
        "authorized_official_last_name": "SCHAAL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-346-6050"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL0011362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54535743",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; 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.

Verify at the official NPI Registry.