Individual provider Active NPI

Benjamin Schneider, PT, DPT

  • Physical Therapist
  • Conroe, TX
National Provider Identifier
1740735562
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1280250 Issued in TX
Practice address
15210 Interstate 45 S
Suite 108
Conroe, TX 77384-4105
Phone
(832) 702-7272
Fax
(832) 702-7255
NPI assigned
Aug 22, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2017

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 1280250 TX Primary

Addresses

Primary practice location

15210 Interstate 45 S
Suite 108
Conroe, TX 77384-4105

Mailing address

15210 Interstate 45 S
Suite 108
Conroe, TX 77384-4105
Phone (832) 702-7272

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": "1471824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490659200000",
    "number": "1740735562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15210 INTERSTATE 45 S",
            "address_2": "SUITE 108",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773844105",
            "telephone_number": "832-702-7272",
            "fax_number": "832-702-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15210 INTERSTATE 45 S",
            "address_2": "SUITE 108",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773844105",
            "telephone_number": "832-702-7272",
            "fax_number": "832-702-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "BENJAMIN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-22",
        "last_updated": "2017-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1280250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.