Individual provider Active NPI

Sarah Schimmoeller, PT

  • Physical Therapist
  • Northwood, OH
National Provider Identifier
1740698802
Registry record updated Jul 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT10339 Issued in OH
Practice address
4725 Woodville Rd
Northwood, OH 43619-1864
Phone
(419) 698-2500
NPI assigned
Jul 31, 2014
Last updated
Jul 31, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2014

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 PT10339 OH Primary

Addresses

Primary practice location

4725 Woodville Rd
Northwood, OH 43619-1864

Mailing address

4725 Woodville Rd
Northwood, OH 43619-1864

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150522001296 OH Practitioner - Physical Therapist in Private Practice 7315267853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Ohio State University College of Medicine, 2003
Medicare assignment
May accept Medicare assignment
Group practices
Summit Rehabilitation Services, LLCGroup PAC ID 8022088558, 2 clinicians

Practice addresses (Care Compare)

3715 Williston Rd
Northwood, OH 43619-2001
Phone (419) 698-2500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT10339OHMDPhysical Therapist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406764800000",
    "number": "1740698802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4725 WOODVILLE RD",
            "city": "NORTHWOOD",
            "state": "OH",
            "postal_code": "436191864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4725 WOODVILLE RD",
            "city": "NORTHWOOD",
            "state": "OH",
            "postal_code": "436191864",
            "telephone_number": "419-698-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIMMOELLER",
        "first_name": "SARAH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-31",
        "last_updated": "2014-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT10339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; 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.