Active NPI
Adam Schaetzle, CTRS
- Recreation Therapist
- Gainesville, FL
National Provider Identifier
1750831582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- License
- 65202
- Practice address
- 1601 S.W. Archer Road
North Florida / South Georgia Malcolm Randal Vamc
Gainesville, FL 32608-1197 - Phone
- (352) 548-6000
- NPI assigned
- Oct 5, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | 65202 | FL | Primary |
Addresses
Primary practice location
1601 S.W. Archer Road
North Florida / South Georgia Malcolm Randal Vamc
Gainesville, FL 32608-1197
Mailing address
2924 NW 76TH Ter
Gainesville, FL 32606-6266
Phone (352) 231-6499
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65202 | FL | MD | Recreation Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492646400000",
"number": "1750831582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2924 NW 76TH TER",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326066266",
"telephone_number": "352-231-6499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 S.W. ARCHER ROAD",
"address_2": "NORTH FLORIDA / SOUTH GEORGIA MALCOLM RANDAL VAMC",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326081197",
"telephone_number": "352-548-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAETZLE",
"first_name": "ADAM",
"credential": "CTRS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-10-05",
"last_updated": "2017-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "FL",
"license": "65202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.