Jacob Schaller-Ward, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL.0017248 Issued in CO

Practice address

855 Citadel Dr E
Colorado Springs, CO 80909-5304

Phone

(719) 465-1502

Fax

(719) 465-2087

NPI assigned

Sep 1, 2020

Sex

Male

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

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rezac and Associates Physical Therapy PLLCGroup PAC ID 1850441247, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Rezac & Associates Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Colorado Springs, CO
  • NPI 1427298140

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1861006447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 361",
            "city": "FLORISSANT",
            "state": "CO",
            "postal_code": "808160361",
            "telephone_number": "719-477-3698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 CITADEL DR E",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095304",
            "telephone_number": "719-465-1502",
            "fax_number": "719-465-2087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHALLER-WARD",
        "first_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0017248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniella Schaffer, RBT
• Morgann Schaffer
• Jenna Rose Schaffert, RBT
• Shannon Schafhausen, LPC
• Pia Hillevi Schalin, MD BOARD CERTIFIED F
• Moriah Mackenzie Schaller, PA-C
• Brittani Nicole Schamberger, LMT
• Dannis Schanel, LCSW
• Allison Paige Schaneman, OTR/L
• Kristin Schank, DPT

• Physical Therapist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.