Individual provider Active NPI

John Schaefer, PT

  • Physical Therapist
  • Placerville, CA
National Provider Identifier
1811086754
Registry record updated Jan 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT21076 Issued in CA
Practice address
1550 Old Ranch Rd
Placerville, CA 95667-8929
Phone
(530) 903-0649
Fax
(530) 621-2392
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2012

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 PT21076 CA Primary

Addresses

Primary practice location

1550 Old Ranch Rd
Placerville, CA 95667-8929

Mailing address

1550 Old Ranch Rd
Placerville, CA 95667-8929
Phone (530) 903-0649

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT21076CAMDPhysical Therapist
21076CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rock Solid Athletics & Rehab Physical Therapist PastSince Sep 7, 2011 Accepting new patients
El Dorado Physical Therapy, Inc Physical Therapist PastSince Jan 1, 2010 Accepting new patients
El Dorado Physical Therapy & Associates Physical Therapist PastSince Jun 1, 2004 Accepting new patients

Organizations & group practices 3

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327017600000",
    "number": "1811086754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 OLD RANCH RD",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956678929",
            "telephone_number": "530-903-0649",
            "fax_number": "530-621-2392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 OLD RANCH RD",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956678929",
            "telephone_number": "530-903-0649",
            "fax_number": "530-621-2392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEFER",
        "first_name": "JOHN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2012-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT21076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placerville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.