Active NPI
Andrew M Schrag, BSC PT
- Physical Therapist
- Pottsville, PA
National Provider Identifier
1770560633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT013084L
- Practice address
- 48 Tunnel Rd
Ste. 202
Pottsville, PA 17901-3875 - Phone
- (570) 622-0182
- Fax
- (570) 622-3192
- NPI assigned
- Dec 30, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT013084L | PA | Primary |
Addresses
Primary practice location
48 Tunnel Rd
Ste. 202
Pottsville, PA 17901-3875
Mailing address
15050 Kutztown Rd
P.O. Box 210
Kutztown, PA 19530-9275
Phone (610) 683-5686
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50073174 | Other | PA | CAPITAL BLUE CROSS |
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": "1135900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201651200000",
"number": "1770560633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15050 KUTZTOWN RD",
"address_2": "P.O. BOX 210",
"city": "KUTZTOWN",
"state": "PA",
"postal_code": "195309275",
"telephone_number": "610-683-5686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48 TUNNEL RD",
"address_2": "STE. 202",
"city": "POTTSVILLE",
"state": "PA",
"postal_code": "179013875",
"telephone_number": "570-622-0182",
"fax_number": "570-622-3192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHRAG",
"first_name": "ANDREW",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "BSC PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-30",
"last_updated": "2008-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT013084L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "50073174",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pottsville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.