Individual provider Active NPI

Corrin Nicole Schreyer, DPT

  • Physical Therapist
  • Des Moines, IA
National Provider Identifier
1700424330
Registry record updated Dec 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
096839 Issued in IA
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

Updated by the provider on Dec 13, 2019

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 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 Former name

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.

Verify at the official NPI Registry.