Active NPI
Mary Joann Schafer, PT
- Physical Therapist
- Adrian, MI
National Provider Identifier
1801914486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501013102
- Practice address
- 1525 W Maumee St
Suite 3
Adrian, MI 49221-1899 - Phone
- (517) 265-6007
- NPI assigned
- Mar 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501013102 | MI | Primary |
Addresses
Primary practice location
1525 W Maumee St
Suite 3
Adrian, MI 49221-1899
Mailing address
4116 Burnham Ave
Toledo, OH 43612-1914
Phone (419) 478-3261
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501013102 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801914486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4116 BURNHAM AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436121914",
"telephone_number": "419-478-3261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 W MAUMEE ST",
"address_2": "SUITE 3",
"city": "ADRIAN",
"state": "MI",
"postal_code": "492211899",
"telephone_number": "517-265-6007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAFER",
"first_name": "MARY",
"middle_name": "JOANN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501013102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Adrian, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.