Active NPI
Ken Schonbachler, MPT, MBA
- Physical Therapist
- Youngsville, PA
National Provider Identifier
1831692813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT011627L
- Practice address
- 709 Rouse Ave
Youngsville, PA 16371-1605 - Phone
- (814) 563-6750
- Fax
- (814) 563-6751
- NPI assigned
- Mar 15, 2018
- Last updated
- Jun 16, 2018
- Sex
- Male
- 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 | PT011627L | PA | Primary |
Addresses
Primary practice location
709 Rouse Ave
Youngsville, PA 16371-1605
Mailing address
701 Rouse Ave
Youngsville, PA 16371-1605
Phone (814) 563-6403
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT011627L | Other | PA | PHYSICAL THERAPY LICENSE |
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
- Credentials
- Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT011627L | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1831692813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 ROUSE AVE",
"city": "YOUNGSVILLE",
"state": "PA",
"postal_code": "163711605",
"telephone_number": "814-563-6403",
"fax_number": "814-563-6725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 ROUSE AVE",
"city": "YOUNGSVILLE",
"state": "PA",
"postal_code": "163711605",
"telephone_number": "814-563-6750",
"fax_number": "814-563-6751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHONBACHLER",
"first_name": "KEN",
"name_prefix": "Mr.",
"credential": "MPT, MBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-15",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT011627L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY LICENSE",
"identifier": "PT011627L",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Youngsville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.