Active NPI
Edward Schubert, MPT
- Physical Therapist
- Newark, DE
National Provider Identifier
1780492694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- J1-0000797
- Practice address
- 33 E Periwinkle LN
Newark, DE 19711-6216 - Phone
- (302) 584-0922
- NPI assigned
- Dec 23, 2024
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | J1-0000797 | DE | Primary |
Addresses
Primary practice location
33 E Periwinkle LN
Newark, DE 19711-6216
Mailing address
33 E Periwinkle LN
Newark, DE 19711-6216
Phone (302) 584-0922
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250113001323 | DE | Practitioner - Physical Therapist in Private Practice | 3870021207 |
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": "1734912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734912000000",
"number": "1780492694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 E PERIWINKLE LN",
"city": "NEWARK",
"state": "DE",
"postal_code": "197116216",
"telephone_number": "302-584-0922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 E PERIWINKLE LN",
"city": "NEWARK",
"state": "DE",
"postal_code": "197116216",
"telephone_number": "302-584-0922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHUBERT",
"first_name": "EDWARD",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-12-23",
"last_updated": "2024-12-23",
"certification_date": "2024-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J1-0000797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.