Active NPI
Corrin Nicole Schreyer, DPT
- Physical Therapist
- Des Moines, IA
National Provider Identifier
1700424330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 096839
- Practice address
- 601 E Locust St Ste 102
Des Moines, IA 50309-1941 - Phone
- (515) 421-4018
- NPI assigned
- Dec 13, 2019
- Sex
- Female
- 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 | 096839 | IA | Primary |
Addresses
Primary practice location
601 E Locust St Ste 102
Des Moines, IA 50309-1941
Mailing address
601 E Locust St Ste 102
Des Moines, IA 50309-1941
Phone (515) 421-4018
Other names 1
- Corrin Nicole Russell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576195200000",
"number": "1700424330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 E LOCUST ST STE 102",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503091941",
"telephone_number": "515-421-4018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 E LOCUST ST STE 102",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503091941",
"telephone_number": "515-421-4018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHREYER",
"first_name": "CORRIN",
"middle_name": "NICOLE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-13",
"last_updated": "2019-12-13",
"certification_date": "2019-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "096839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CORRIN",
"last_name": "RUSSELL",
"middle_name": "NICOLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.