Individual provider Active NPI

Philippe S Schafer, DPT

  • Physical Therapist
  • Long Island City, NY
National Provider Identifier
1801453303
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
049600 Issued in NY
Practice address
4543 21St St
Long Island City, NY 11101-5219
Phone
(347) 589-8100
NPI assigned
May 21, 2019
Last updated
Dec 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X MD
Physical Therapist 225100000X 049600 NY Primary

Addresses

Primary practice location

4543 21St St
Long Island City, NY 11101-5219

Mailing address

4543 21St St
Long Island City, NY 11101-5219
Phone (347) 589-8100

Other practice location 1

1920 Greenspring Dr Ste 100
Timonium, MD 21093-4160
Phone (410) 560-3931

Other identifiers 1

IdentifierTypeStateIssuer
14469776OtherMDCAQH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221223000596 NY Practitioner - Physical Therapist in Private Practice 9739415779 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Equilibrium Physical Therapy, LLCGroup PAC ID 0941250856, 12 clinicians

Practice addresses (Care Compare)

261 E 78TH St
FL 2
New York, NY 10075-1216
Phone (212) 472-5820

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC CurrentSince Sep 8, 2022 Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path Physical Therapist CurrentSince Sep 8, 2022 Accepting new patients
Conrad & Renzi, P.a. Physical Therapist CurrentSince Jun 11, 2019 Accepting new patients
Equilibrium Physical Therapy, LLC Physical Therapist CurrentSince May 5, 2025 Accepting new patients
Conrad & Renzi, P.a. Past Accepting new patients
D E Delopoulos Physical Therapist PastSince Jun 22, 2019 Accepting new patients

Locations

1920 Greenspring Dr
Ste 100
Timonium, MD 21093
Phone (410) 560-3931

7402 York Rd
Ste 104
Towson, MD 21204
Phone (410) 560-3931

490 Driggs Ave
Brooklyn, NY 11211
Phone (347) 329-4572

550 Mamaroneck Ave
Ste 104
Harrison, NY 10528
Phone (914) 777-3737

4543 21st St
Long Island City, NY 11101
Phone (347) 589-8100

261 E 78th St
Fl 2
New York, NY 10075
Phone (212) 472-5820

Organizations & group practices 6

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": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1801453303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4543 21ST ST",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015219",
            "telephone_number": "347-589-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4543 21ST ST",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015219",
            "telephone_number": "347-589-8100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1920 Greenspring Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Timonium",
            "state": "MD",
            "postal_code": "210934160",
            "country_code": "US",
            "telephone_number": "410-560-3931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHAFER",
        "first_name": "PHILIPPE",
        "middle_name": "S",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-21",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "049600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14469776",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.