Active NPI
Andrea Renee Schwab Roe, LPT
- Physical Therapist
- Waverly, IA
National Provider Identifier
1619274255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 03211
- Practice address
- 1810 4TH St SW
Suite 103a
Waverly, IA 50677-4389 - Phone
- (319) 352-6400
- Fax
- (319) 352-4655
- NPI assigned
- Feb 17, 2011
- 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 | 03211 | IA | Primary |
Addresses
Primary practice location
1810 4TH St SW
Suite 103a
Waverly, IA 50677-4389
Mailing address
PO Box 2660
Waterloo, IA 50704-2660
Phone (319) 233-3044
Other names 1
- Andrea Renee Schwab
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03211 | IA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297900800000",
"number": "1619274255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2660",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507042660",
"telephone_number": "319-233-3044",
"fax_number": "319-233-0722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1810 4TH ST SW",
"address_2": "SUITE 103A",
"city": "WAVERLY",
"state": "IA",
"postal_code": "506774389",
"telephone_number": "319-352-6400",
"fax_number": "319-352-4655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWAB ROE",
"first_name": "ANDREA",
"middle_name": "RENEE",
"credential": "LPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-02-17",
"last_updated": "2011-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "03211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANDREA",
"last_name": "SCHWAB",
"middle_name": "RENEE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Waverly, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.