Individual provider Active NPI

Debbie Ann Schrader, RPT

  • Physical Therapist
  • Grain Valley, MO
National Provider Identifier
1902028053
Registry record updated Sep 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
01689 Issued in MO
Practice address
1302 NW Persimmon Dr
Grain Valley, MO 64029-8628
Phone
(816) 847-8012
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2012

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 01689 MO Primary

Addresses

Primary practice location

1302 NW Persimmon Dr
Grain Valley, MO 64029-8628

Mailing address

7124 S Hardsaw Rd
Oak Grove, MO 64075-7243
Phone (816) 217-7998

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260416002111 MO Practitioner - Physical Therapist in Private Practice 2062407364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hunt4AbetteruGroup PAC ID 9436522372, 3 clinicians

Practice addresses (Care Compare)

20120 E Jackson Dr
Suite B
Independence, MO 64057-2153
Phone (816) 829-4050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Starz Pediatric Therapy Network Past Accepting new patients
Health Plus Physical Therapy, 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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347753600000",
    "number": "1902028053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7124 S HARDSAW RD",
            "city": "OAK GROVE",
            "state": "MO",
            "postal_code": "640757243",
            "telephone_number": "816-217-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 NW PERSIMMON DR",
            "city": "GRAIN VALLEY",
            "state": "MO",
            "postal_code": "640298628",
            "telephone_number": "816-847-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRADER",
        "first_name": "DEBBIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2012-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "01689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grain Valley, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2012; 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.