Individual provider Active NPI

Tina Ruth Schaffner, PT

  • Physical Therapist
  • Rochester Hills, MI
National Provider Identifier
1780841759
Registry record updated Sep 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501011837 Issued in MI
Practice address
141 Hampton Cir
Rochester Hills, MI 48307-4103
Phone
(248) 853-7555
NPI assigned
May 19, 2008
Last updated
Sep 16, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501011837 MI Primary

Addresses

Primary practice location

141 Hampton Cir
Rochester Hills, MI 48307-4103

Mailing address

2322 Coy St
Ferndale, MI 48220-1122
Phone (248) 398-2520

Other identifiers 1

IdentifierTypeStateIssuer
P55360006OtherMIPTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080903000043 MI Practitioner - Physical Therapist in Private Practice 0941376784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neil King Physical Therapy, PCGroup PAC ID 4385722917, 32 clinicians

Practice addresses (Care Compare)

141 Hampton Cir
Rochester Hills, MI 48307-4103
Phone (248) 853-7555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Neil King Physical Therapy, PC Physical Therapist CurrentSince Jun 19, 2008 Accepting new patients

Locations

141 Hampton Cir
Rochester Hills, MI 48307
Phone (248) 583-7555

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221523200000",
    "number": "1780841759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2322 COY ST",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201122",
            "telephone_number": "248-398-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 HAMPTON CIR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074103",
            "telephone_number": "248-853-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAFFNER",
        "first_name": "TINA",
        "middle_name": "RUTH",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501011837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "P55360006",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.