Kristina R Schroeder, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT016675 Issued in PA

Practice address

3100 Willow Street Pike S
Willow Street, PA 17584-9373

Phone

(717) 464-9013

Fax

(717) 464-9018

NPI assigned

Jul 12, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kristina R Poley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1780972737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 DOCK HILL RD",
            "city": "MIDDLEBURG",
            "state": "PA",
            "postal_code": "178428910",
            "telephone_number": "570-837-2123",
            "fax_number": "570-837-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 WILLOW STREET PIKE S",
            "city": "WILLOW STREET",
            "state": "PA",
            "postal_code": "175849373",
            "telephone_number": "717-464-9013",
            "fax_number": "717-464-9018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 Community Way",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176032301",
            "country_code": "US",
            "telephone_number": "717-393-0425",
            "fax_number": "717-735-6009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "KRISTINA",
        "middle_name": "R",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-12",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT016675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "POLEY",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stefanie Nicole Scarborough, LPC
• Daniel Adam Schmitt, PA-C
• Jason C Schmitt, AU.D.
• John J Schmitt, M.D.
• Darrell Schock
• Marissa Michele Schwartz, M.S.
• Michael David Seiferth, MD
• Jessica Maureen Shober, MS OTR/L
• Jeannie Marie Shoff, MPT
• Adriane Joy Shroyer, M. ED. CCC-SLP

• Physical Therapist in Willow Street, PA
• Providers in Willow Street, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.