Organization Active NPI

Schafer Physical Therapy, PC

  • Physical Therapist
  • Bridgeville, PA
National Provider Identifier
1821133307
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT015498 Issued in PA
Legal business name
SCHAFER PHYSICAL THERAPY, PC
Practice address
3249 Washington Pike Ste 1102
Bridgeville, PA 15017-1461
Phone
(412) 257-0314
Fax
(412) 257-0317
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Scott David Schafer, PTNPI 1487799953
Title
President Owner
Phone
(412) 257-0314

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT015498 PA Primary

Addresses

Primary practice location

3249 Washington Pike Ste 1102
Bridgeville, PA 15017-1461

Mailing address

3249 Washington Pike Ste 1102
Bridgeville, PA 15017-1461
Phone (412) 257-0314

Other identifiers 3

IdentifierTypeStateIssuer
266038OtherPAHEALTHAMERICA GRP#
6431559OtherPACIGNA PROV#
1753095OtherPAHIGHMARK BCBS GRP#

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051209000272 PA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4082635701 Receives reassigned benefits from 1 practitioner
Practice locations: Bridgeville, PA

National Provider Directory

National Provider Directory

Locations

3249 Washington Pike
Ste 1102
Bridgeville, PA 15017
Phone (412) 257-0314

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821133307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3249 WASHINGTON PIKE STE 1102",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150171461",
            "telephone_number": "412-257-0314",
            "fax_number": "412-257-0317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3249 WASHINGTON PIKE STE 1102",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150171461",
            "telephone_number": "412-257-0314",
            "fax_number": "412-257-0317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHAFER PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHAFER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "412-257-0314",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT015498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHAMERICA GRP#",
            "identifier": "266038",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROV#",
            "identifier": "6431559",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BCBS GRP#",
            "identifier": "1753095",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.