Individual provider Active NPI

Jonathan Isaac Schibel, PT

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1649275900
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5435 Issued in AZ
Practice address
3607 E Bell Rd
Ste 7
Phoenix, AZ 85032-2152
Phone
(602) 569-5656
Fax
(602) 569-6119
NPI assigned
Jun 14, 2005
Last updated
Mar 11, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2020

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 5435 AZ Primary

Addresses

Primary practice location

3607 E Bell Rd
Ste 7
Phoenix, AZ 85032-2152

Mailing address

2418 E Danbury Rd
Phoenix, AZ 85032-2425
Phone (602) 569-5656

Other identifiers 1

IdentifierTypeStateIssuer
582438MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040106000563 AZ Practitioner - Physical Therapist in Private Practice 6608775929 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Mayo Medical School, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2418 E Danbury Rd
Phoenix, AZ 85032-2425
Phone (602) 569-5656

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5435AZMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Rehabilitation and Hand Centers Inc Physical Therapist Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1649275900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2418 E DANBURY RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322425",
            "telephone_number": "602-569-5656",
            "fax_number": "602-569-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3607 E BELL RD",
            "address_2": "STE 7",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322152",
            "telephone_number": "602-569-5656",
            "fax_number": "602-569-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIBEL",
        "first_name": "JONATHAN",
        "middle_name": "ISAAC",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "5435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "582438",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.