Individual provider Active NPI

Kelly Schmit, PT

  • Physical Therapist
  • Cedar Rapids, IA
National Provider Identifier
1801980776
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
03064 Issued in IA
Practice address
600 7TH St SE
Suite a
Cedar Rapids, IA 52401-2112
Phone
(319) 399-1569
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 03064 IA Primary

Addresses

Primary practice location

600 7TH St SE
Suite a
Cedar Rapids, IA 52401-2112

Mailing address

600 7TH St SE
Suite a
Cedar Rapids, IA 52401-2112
Phone (319) 399-1569

Other identifiers 1

IdentifierTypeStateIssuer
0665430MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180924000213 IA Practitioner - Physical Therapist in Private Practice 5193076610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sandra H Sublett, PT, LLCGroup PAC ID 7012265077, 7 clinicians

Practice addresses (Care Compare)

227 Northland CT NE
Cedar Rapids, IA 52402-6226
Phone (319) 377-0937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sandra H Sublett, PT, LLC Physical Therapist CurrentSince Sep 4, 2018 Accepting new patients

Locations

227 Northland Ct NE
Cedar Rapids, IA 52402
Phone (319) 270-8492

Organizations & group practices 1

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801980776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 7TH ST SE",
            "address_2": "SUITE A",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524012112",
            "telephone_number": "319-399-1569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 7TH ST SE",
            "address_2": "SUITE A",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524012112",
            "telephone_number": "319-399-1569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIT",
        "first_name": "KELLY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "03064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0665430",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

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.
  • 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.