Individual provider Active NPI

Zachary Schoenrock, PT, DPT

  • Physical Therapist
  • Sioux City, IA
National Provider Identifier
1881242832
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
092379 Issued in IA
Practice address
2802 Castles Gate Dr
Sioux City, IA 51106-7203
Phone
(712) 266-0707
Fax
(712) 266-0709
NPI assigned
Sep 3, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11-06323 KS
Physical Therapist 225100000X LPT-30373 AZ
Physical Therapist 225100000X 092379 IA Primary

Addresses

Primary practice location

2802 Castles Gate Dr
Sioux City, IA 51106-7203

Mailing address

2802 Castles Gate Dr
Sioux City, IA 51106-7203
Phone (712) 266-0707

Other practice location 1

7601 N Oracle Rd Ste 101
Oro Valley, AZ 85704-6310
Phone (520) 293-5551

Other practice location 2

320 N 13th St
Wakeeney, KS 67672-2002
Phone (785) 743-2293

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201021001519 IA Practitioner - Physical Therapist in Private Practice 2961822481 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPT-30373AZMDPhysical Therapist
092379IAMDPhysical Therapist
11-06323KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sioux City Physical Therapy PC Physical Therapist CurrentSince Oct 26, 2020 Accepting new patients

Locations

2802 Castles Gate Dr
Sioux City, IA 51106
Phone (712) 266-0707

Organizations & group practices 1

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": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1881242832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2802 CASTLES GATE DR",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511067203",
            "telephone_number": "712-266-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 CASTLES GATE DR",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511067203",
            "telephone_number": "712-266-0707",
            "fax_number": "712-266-0709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7601 N Oracle Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Oro Valley",
            "state": "AZ",
            "postal_code": "857046310",
            "country_code": "US",
            "telephone_number": "520-293-5551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 N 13th St",
            "address_purpose": "LOCATION",
            "city": "Wakeeney",
            "state": "KS",
            "postal_code": "676722002",
            "country_code": "US",
            "telephone_number": "785-743-2293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHOENROCK",
        "first_name": "ZACHARY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-03",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-06323",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-30373",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "092379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.