Individual provider Active NPI

Braden Walter Schroeder, PT

  • Physical Therapist
  • Gilbert, AZ
National Provider Identifier
1609413269
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-30971 Issued in AZ
Practice address
3321 E Queen Creek Rd Ste 106
Gilbert, AZ 85297-8530
Phone
(480) 550-9100
Fax
(480) 999-4950
NPI assigned
Dec 3, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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 LPT-30971 AZ Primary

Addresses

Primary practice location

3321 E Queen Creek Rd Ste 106
Gilbert, AZ 85297-8530

Mailing address

3321 E Queen Creek Rd Ste 106
Gilbert, AZ 85297-8530
Phone (480) 550-9100

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

NPI Registry JSON

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1609413269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3321 E QUEEN CREEK RD STE 106",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852978530",
            "telephone_number": "480-550-9100",
            "fax_number": "480-999-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 E QUEEN CREEK RD STE 106",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852978530",
            "telephone_number": "480-550-9100",
            "fax_number": "480-999-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "BRADEN",
        "middle_name": "WALTER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-03",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-30971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; 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.