Active NPI
Philippe S Schafer, DPT
- Physical Therapist
- Long Island City, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 049600
- Practice address
- 4543 21St St
Long Island City, NY 11101-5219 - Phone
- (347) 589-8100
- NPI assigned
- May 21, 2019
- Last updated
- Dec 7, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14469776 | Other | MD | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC | Current | Accepting new patients | |
| Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path | Physical Therapist | Current | Accepting new patients |
| Conrad & Renzi, P.a. | Physical Therapist | Current | Accepting new patients |
| Equilibrium Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Conrad & Renzi, P.a. | Past | Accepting new patients | |
| D E Delopoulos | Physical Therapist | Past | 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.
-
- Physical Therapist
- New York, NY
- NPI 1811961667
-
- Physical Therapist
- Harrison, NY
- NPI 1396799409
-
- Physical Medicine & Rehabilitation Physician
- New York, NY
- NPI 1215637699
-
- Physical Therapy Clinic/Center
- Towson, MD
- NPI 1457880148
-
dba Hand Therapy and Ergonomics
- Hand Occupational Therapist
- Long Branch, NJ
- NPI 1477958411
Physical Therapist
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.