Individual provider Active NPI

Amanda Schuler

  • Physical Therapist
  • Ketchikan, AK
National Provider Identifier
1801075544
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2209 Issued in AK
Practice address
540 Water St Ste 101
Ketchikan, AK 99901-6378
Phone
(907) 617-2052
Fax
(907) 247-3293
NPI assigned
Oct 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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 2209 AK Primary

Addresses

Primary practice location

540 Water St Ste 101
Ketchikan, AK 99901-6378

Mailing address

540 Water St Ste 101
Ketchikan, AK 99901-6378
Phone (907) 617-2052

Other names 1

  • Amanda Schuler Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131119001640 AK Practitioner - Physical Therapist in Private Practice 4385870450 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

21 Jefferson Way
Suite 202
Ketchikan, AK 99901-5951
Phone (907) 617-2052

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2209AKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ketchikan Physical Therapy, LLC Physical Therapist CurrentSince Feb 1, 2021 Accepting new patients
Optimum Health and Wellness Physical Therapy, Inc. Physical Therapist CurrentSince Aug 30, 2013 Accepting new patients

Locations

21 Jefferson Way
Ste 202
Ketchikan, AK 99901
Phone (907) 228-8300

540 Water St
Ste 101
Ketchikan, AK 99901
Phone (907) 225-4583

5193 Borch St
Ketchikan, AK 99901
Phone (907) 254-1276

4079 Tongass Ave
Ste 102
Ketchikan, AK 99901
Phone (907) 225-7808

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1801075544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 WATER ST STE 101",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999016378",
            "telephone_number": "907-617-2052",
            "fax_number": "907-247-3293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 WATER ST STE 101",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999016378",
            "telephone_number": "907-617-2052",
            "fax_number": "907-247-3293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULER",
        "first_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-30",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "2209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "SCHULER",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ketchikan, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.