Individual provider Active NPI

Stephen Andrew Schnoor, PT, DPT

  • Orthopedic Physical Therapist
  • Glen Allen, VA
National Provider Identifier
1760114045
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
2305215060 Issued in VA
Practice address
5300 Hickory Park Dr Ste 110
Glen Allen, VA 23059-2629
Phone
(804) 270-7754
Fax
(804) 270-7756
NPI assigned
Jun 27, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 2305215060 VA Primary

Addresses

Primary practice location

5300 Hickory Park Dr Ste 110
Glen Allen, VA 23059-2629

Mailing address

5300 Hickory Park Dr Ste 110
Glen Allen, VA 23059-2629
Phone (804) 270-7754

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230504001917 VA Practitioner - Physical Therapist in Private Practice 9234594748

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305215060VAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Progress Rehabilitation Network, LLC PastSince Jul 3, 2022 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1760114045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 HICKORY PARK DR STE 110",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230592629",
            "telephone_number": "804-270-7754",
            "fax_number": "804-270-7756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 HICKORY PARK DR STE 110",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230592629",
            "telephone_number": "804-270-7754",
            "fax_number": "804-270-7756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNOOR",
        "first_name": "STEPHEN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-27",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "VA",
            "license": "2305215060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.