Individual provider Active NPI

William Schauss, PT

  • Physical Therapist
  • Port Jefferson Station, NY
National Provider Identifier
1689631830
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0240111 Issued in NY
Practice address
300 Hallock Ave
Port Jefferson Station, NY 11776-1248
Phone
(631) 331-1070
Fax
(631) 331-1126
NPI assigned
Apr 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

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 0240111 NY Primary

Addresses

Primary practice location

300 Hallock Ave
Port Jefferson Station, NY 11776-1248

Mailing address

300 Hallock Ave
Port Jefferson Station, NY 11776-1248
Phone (631) 331-1070

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080408000107 NY Practitioner - Physical Therapist in Private Practice 7719064344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Port Jefferson Physical Therapy PCGroup PAC ID 8325938962, 3 clinicians

Practice addresses (Care Compare)

300 Hallock Ave
Port Jefferson Station, NY 11776-1248
Phone (631) 331-1070

Merit-based Incentive Payment System (MIPS)

Final score
21.74 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
72.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0240111NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Port Jefferson Physical Therapy PC CurrentSince Feb 1, 2008 Accepting new patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic Physical Therapist PastSince May 1, 2014 Accepting new patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic Past Accepting new patients

Locations

300 Hallock Ave
Port Jefferson Station, NY 11776
Phone (631) 331-1070

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.

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366156800000",
    "number": "1689631830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HALLOCK AVE",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117761248",
            "telephone_number": "631-331-1070",
            "fax_number": "631-331-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HALLOCK AVE",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117761248",
            "telephone_number": "631-331-1070",
            "fax_number": "631-331-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAUSS",
        "first_name": "WILLIAM",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2013-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0240111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jefferson Station, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; 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.