Pamela Schenck, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

013825-01 Issued in NY

Practice address

496 County Road 111 BLDG D1
Manorville, NY 11949-3387

Phone

(631) 909-8712

Fax

(631) 909-8714

NPI assigned

Sep 5, 2023

Last updated

Sep 5, 2023By the provider in NPPES

Sex

Female

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": "1693872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1699551861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "496 COUNTY ROAD 111 BLDG D1",
            "city": "MANORVILLE",
            "state": "NY",
            "postal_code": "119493387",
            "telephone_number": "631-909-8712",
            "fax_number": "631-909-8714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 COUNTY ROAD 111 BLDG D1",
            "city": "MANORVILLE",
            "state": "NY",
            "postal_code": "119493387",
            "telephone_number": "631-909-8712",
            "fax_number": "631-909-8714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHENCK",
        "first_name": "PAMELA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-05",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "013825-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edwin Santiago
• Maureen Sarmiento
• Liliana Saunders
• Kelly Marie Savin, L.P.N
• Eileen Schappert, MSCC/SLP
• Nancy Schillizzi, CRNA
• Nicole Schindler
• Suzanne Schmidt
• Kayla Rae Schrage, PA-C
• Crystal Schroeder

• Physical Therapy Assistant in Manorville, NY
• Providers in Manorville, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.