Active NPI
Andreas Schenk
- Physical Therapist
- Coronado, CA
National Provider Identifier
1689601775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT17427
- Practice address
- 1224 10TH St
Suite 204
Coronado, CA 92118-3416 - Phone
- (619) 437-6450
- NPI assigned
- Jun 26, 2006
- 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 | PT17427 | CA | Primary |
Addresses
Primary practice location
1224 10TH St
Suite 204
Coronado, CA 92118-3416
Mailing address
1224 10TH St
Suite 204
Coronado, CA 92118-3416
Phone (619) 437-6450
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WPT17427B | Other | CA | MCARE IND PROV # EASTLAKE |
| WPT17427C | Other | CA | MCARE IND PROV # CORONADO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060818000552 | CA | Practitioner - Physical Therapist in Private Practice | 6406859123 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1989
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1224 10TH St
Suite 204
Coronado, CA 92118-3420
Phone (619) 437-6450
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17427 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| PT17427 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Results Rehabilitation, Inc. | Physical Therapist | Current | Accepting new patients |
| Results Rehabilitation Inc | Physical Therapist | Past | Accepting new patients |
| Results Rehab Eastlake, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
1224 10th St
Ste 204
Coronado, CA 92118
Phone (619) 437-6450
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- Coronado, CA
- NPI 1417056227
CA, Physical Therapist
-
- Physical Therapist
- Chula Vista, CA
- NPI 1962455394
-
- Physical Therapist
- Coronado, CA
- NPI 1326450255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190764800000",
"number": "1689601775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1224 10TH ST",
"address_2": "SUITE 204",
"city": "CORONADO",
"state": "CA",
"postal_code": "921183416",
"telephone_number": "619-437-6450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1224 10TH ST",
"address_2": "SUITE 204",
"city": "CORONADO",
"state": "CA",
"postal_code": "921183416",
"telephone_number": "619-437-6450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHENK",
"first_name": "ANDREAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2007-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT17427",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCARE IND PROV # EASTLAKE",
"identifier": "WPT17427B",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCARE IND PROV # CORONADO",
"identifier": "WPT17427C",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coronado, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.