Tara Rene Schiessle, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA29231 Issued in FL

Practice address

600 W North Blvd Ste D
Leesburg, FL 34748-5000

Phone

(352) 728-6636

NPI assigned

Mar 13, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552435200000",
    "number": "1831658467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W NORTH BLVD STE D",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485000",
            "telephone_number": "352-728-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W NORTH BLVD STE D",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485000",
            "telephone_number": "352-728-6636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIESSLE",
        "first_name": "TARA",
        "middle_name": "RENE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-13",
        "last_updated": "2019-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA29231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandis Sauceda
• William Steven Saunders, PSY. D.
• Kristine Sayoc, PTA
• Christopher J Schaeffer, M.D., PH.D.
• Jarred Schaufel, L.M.T.
• Stephen L Schloneger, MD
• Hannah Schneier
• Shana R. Schroeder, DO
• Emily Schubert
• Kaitlyn Schutt

• Physical Therapy Assistant in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; 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.