Kevin Dennis Schnack, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306603123 Issued in VA

Practice address

6714 Ruskin St
Springfield, VA 22150-2039

Phone

(703) 426-4949

Fax

(703) 426-4977

NPI assigned

Jun 19, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1639432248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6714 RUSKIN ST",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221502039",
            "telephone_number": "703-426-4949",
            "fax_number": "703-426-4977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6714 RUSKIN ST",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221502039",
            "telephone_number": "703-426-4949",
            "fax_number": "703-426-4977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNACK",
        "first_name": "KEVIN",
        "middle_name": "DENNIS",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306603123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blair Oliff Scallion, MS, CCC-SLP
• Darcie S. Scheffler
• Abigail R Scheirer
• Mignon Tala Schley, PHARMD
• Andrea Schmitz, M.A., CF-SLP
• Allen L Schneider, DDS
• Kirsten Schoen
• Tyler Schorr, OT
• Leah M Schulte, MD
• Margaret Schwiesow, D.O.

• Physical Therapy Assistant in Springfield, VA
• Providers in Springfield, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.