Individual provider Active NPI

Jennifer Lynn Schaal, PT,DPT,ATC

  • Physical Therapist
  • Burlington, CO
National Provider Identifier
1609203215
Registry record updated Sep 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11362 Issued in CO
Practice address
942 Rose Ave
Burlington, CO 80807-1815
Phone
(308) 352-6476
NPI assigned
Sep 27, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11362 CO Primary

Addresses

Primary practice location

942 Rose Ave
Burlington, CO 80807-1815

Mailing address

942 Rose Ave
Burlington, CO 80807-1815
Phone (308) 352-6476

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140407000836 CO Practitioner - Physical Therapist in Private Practice 2163654104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schaal Physical Therapy and FitnessGroup PAC ID 5193957132, 3 clinicians

Practice addresses (Care Compare)

334 S 13TH St
Burlington, CO 80807-2414

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11362COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Schaal Physical Therapy and Fitness Physical Therapist Current Accepting new patients
Schaal Physical Therapy and Fitness Physical Therapist CurrentSince Dec 1, 2013 Accepting new patients

Locations

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

334 S 13th St
Burlington, CO 80807
Phone (719) 346-6050

Organizations & group practices 2

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": "1380240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537142400000",
    "number": "1609203215",
    "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": "308-352-6476"
        },
        {
            "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": "308-352-6476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAAL",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "PT,DPT,ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-27",
        "last_updated": "2018-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "11362",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 17, 2018; 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.