Individual provider Active NPI

Madeline Elizabeth Schroepfer, PT, DPT

  • Physical Therapist
  • Lees Summit, MO
National Provider Identifier
1629705959
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2022030937 Issued in MO
Practice address
1254 SE Century Dr
Lees Summit, MO 64081-3286
Phone
(816) 524-1442
Fax
(816) 524-1445
NPI assigned
Aug 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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 2022030937 MO Primary

Addresses

Primary practice location

1254 SE Century Dr
Lees Summit, MO 64081-3286

Mailing address

1254 SE Century Dr
Lees Summit, MO 64081-3286
Phone (816) 524-1442

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220816001051 MO Practitioner - Physical Therapist in Private Practice 3173906633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boost Sports Performance LLCGroup PAC ID 8921171604, 4 clinicians

Practice addresses (Care Compare)

2861 NE Independence Ave
Suite 104
Lees Summit, MO 64064-2379
Phone (816) 272-8538

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Boost Sports Performance, LLC CurrentSince Aug 9, 2022 Accepting new patients

Locations

17011 Bel Ray Blvd
Belton, MO 64012
Phone (816) 425-4523

3801 Selsa Rd
Ste 7
Independence, MO 64057
Phone (816) 795-0434

2861 NE Independence Ave
Ste 104
Lees Summit, MO 64064
Phone (816) 272-8538

1254 SE Century Dr
Lees Summit, MO 64081
Phone (816) 524-1442

2105 Kara Ct
Ste 1-A
Liberty, MO 64068
Phone (816) 407-1249

470 Johnson Rd
Ste 100
Washington, PA 15301

Organizations & group practices 1

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": "1659657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1629705959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1254 SE CENTURY DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640813286",
            "telephone_number": "816-524-1442",
            "fax_number": "816-524-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1254 SE CENTURY DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640813286",
            "telephone_number": "816-524-1442",
            "fax_number": "816-524-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEPFER",
        "first_name": "MADELINE",
        "middle_name": "ELIZABETH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-05",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2022030937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.