Individual provider Active NPI

Amanda K.L. Schaffer, PT, MSPT, CSCS. OCS

  • Physical Therapist
  • North Aurora, IL
National Provider Identifier
1841349487
Registry record updated Aug 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070-013483 Issued in IL
Practice address
704 Stewart Ave
North Aurora, IL 60542-9122
Phone
(815) 505-1585
NPI assigned
Jan 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2020

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 070-013483 IL Primary

Addresses

Primary practice location

704 Stewart Ave
North Aurora, IL 60542-9122

Mailing address

704 Stewart Ave
North Aurora, IL 60542-9122
Phone (815) 505-1585

Other names 1

  • Amanda KL Schaffer Other name

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
070-013483ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Belvidere Physical Therapy Inc Physical Therapist PastSince Jul 1, 2005 Accepting new patients
Achieve Orthopedic Sports Institute, LLC PastSince Jan 21, 2018 Accepting new patients
South Suburban Open MRI of Orland, LLC Past 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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597363200000",
    "number": "1841349487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 STEWART AVE",
            "city": "NORTH AURORA",
            "state": "IL",
            "postal_code": "605429122",
            "telephone_number": "815-505-1585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 STEWART AVE",
            "city": "NORTH AURORA",
            "state": "IL",
            "postal_code": "605429122",
            "telephone_number": "815-505-1585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAFFER",
        "first_name": "AMANDA",
        "middle_name": "K.L.",
        "credential": "PT, MSPT, CSCS. OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-013483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "SCHAFFER",
            "middle_name": "KL",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in North Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; 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.