Individual provider Active NPI

Jessica S Schrauth, PT, DPT

  • Orthopedic Physical Therapist
  • West Seneca, NY
National Provider Identifier
1568078467
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
046317 Issued in NY
Practice address
100 Union Rd
West Seneca, NY 14224-4656
Phone
(716) 675-4444
Fax
(716) 675-4446
NPI assigned
Sep 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 046317 NY Primary

Addresses

Primary practice location

100 Union Rd
West Seneca, NY 14224-4656

Mailing address

100 Union Rd
West Seneca, NY 14224-4656
Phone (716) 675-4444

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201130002560 NY Practitioner - Physical Therapist in Private Practice 9638580426 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grand Island Physical Therapy PCGroup PAC ID 6901825926, 19 clinicians

Practice addresses (Care Compare)

100 Union Rd
West Seneca, NY 14224-4656
Phone (716) 675-4444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046317NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Island Physical Therapy PC Orthopedic CurrentSince Jun 28, 2021 Accepting new patients
Advanced Care Physical Therapy Aquatics and Fitness PC Orthopedic CurrentSince Nov 1, 2020 Accepting new patients
Rose Physical Therapy PLLC Orthopedic PastSince Nov 1, 2020 Accepting new patients

Locations

1801 Grand Island Blvd
Grand Island, NY 14072
Phone (716) 773-4323

6000 Brockton Dr
Ste 107
Lockport, NY 14094
Phone (716) 201-1049

924 Main St
Niagara Falls, NY 14301

100 Union Rd
West Seneca, NY 14224
Phone (716) 675-4444

15 S Forest Rd
Williamsville, NY 14221
Phone (716) 204-8734

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1568078467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 UNION RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142244656",
            "telephone_number": "716-675-4444",
            "fax_number": "716-675-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 UNION RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142244656",
            "telephone_number": "716-675-4444",
            "fax_number": "716-675-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRAUTH",
        "first_name": "JESSICA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-17",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "046317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Seneca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.