Matthew David Schneider

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

5501014773 Issued in MI

Practice address

8872 Professional Dr Ste C
Cadillac, MI 49601-8482

Phone

(231) 876-0010

Fax

(231) 876-1246

NPI assigned

Sep 22, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dynamic Physical Therapy Inc

  • Physical Therapist
  • Cadillac, MI
  • NPI 1609874288

  Orthopedic

  NPD (past)

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253577600000",
    "number": "1760716948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8872 PROFESSIONAL DR STE C",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496018482",
            "telephone_number": "231-876-0010",
            "fax_number": "231-876-1246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8872 PROFESSIONAL DR STE C",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496018482",
            "telephone_number": "231-876-0010",
            "fax_number": "231-876-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "MATTHEW",
        "middle_name": "DAVID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-22",
        "last_updated": "2009-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MI",
            "license": "5501014773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4775287",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haley Satchell
• Caitlyn Schepers
• Abbi Hines Schluckbier, LMSW
• Melanie Schmid, LMSW
• Douglas E. Schneider, O.D.
• Katherine A Schoenherr, LMSW
• Grace Scholten
• Kristin Marie Schoo, M.A., CCC-SLP
• Amy R Schroeder, FNP-C
• Vicki Lynne Schutte

• Orthopedic Physical Therapist in Cadillac, MI
• Providers in Cadillac, MI by specialty
• Orthopedic Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; 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.