Individual provider Active NPI

Ryan J Schaul, MPT

  • Physical Therapist
  • Kenosha, WI
National Provider Identifier
1881781151
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14959-24 Issued in WI
Practice address
10222 74TH St Ste 211
Kenosha, WI 53142-6810
Phone
(262) 925-5020
Fax
(262) 925-5021
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070013211 IL
Physical Therapist 225100000X 14959-24 WI Primary

Addresses

Primary practice location

10222 74TH St Ste 211
Kenosha, WI 53142-6810

Mailing address

3921 30TH Ave Ste C
Kenosha, WI 53144-1939
Phone (262) 925-5000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200915000669 WI Practitioner - Physical Therapist in Private Practice 5193768224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PT Plus Management CorpGroup PAC ID 9830255918, 14 clinicians

Practice addresses (Care Compare)

2915 W Layton Ave
Greenfield, WI 53221-2626
Phone (262) 796-2850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
PT Plus Management Corp Physical Therapist CurrentSince Dec 1, 2020 Accepting new patients
Athletic &Therapeutic Institute of Naperville, LLC Physical Therapist Past Accepting new patients
Athletic and Therapeutic Institute of Joliet LLC Physical Therapist Past Accepting new patients

Locations

19045 W Capitol Dr
Ste 101
Brookfield, WI 53045
Phone (262) 790-9800

W62N228 Washington Ave
Cedarburg, WI 53012
Phone (262) 546-4696

700 Pilgrim Pkwy
Ste L8
Elm Grove, WI 53122
Phone (262) 289-1950

241 N Broadway
Ste 403
Milwaukee, WI 53202
Phone (262) 796-2850

3073 S Chase Ave
Ste 630
Milwaukee, WI 53207
Phone (414) 292-3275

2915 W Layton Ave
Milwaukee, WI 53221
Phone (262) 796-2850

1532 S Green Bay Rd
Ste 200
Mount Pleasant, WI 53406
Phone (262) 631-0474

140 E Water St
West Bend, WI 53095
Phone (262) 305-8834

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1881781151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 30TH AVE STE C",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441939",
            "telephone_number": "262-925-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10222 74TH ST STE 211",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531426810",
            "telephone_number": "262-925-5020",
            "fax_number": "262-925-5021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAUL",
        "first_name": "RYAN",
        "middle_name": "J",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070013211",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "14959-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenosha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.