Individual provider Active NPI

Nathan C Schaffer, DPT, PT

  • Physical Therapist
  • Ranson, WV
National Provider Identifier
1902652456
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT004926 Issued in WV
Practice address
34 W Virginia Way Ste 1
Ranson, WV 25438-4882
Phone
(304) 728-9090
Fax
(304) 728-9087
NPI assigned
Apr 25, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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 2305216394 VA
Physical Therapist 225100000X PT004926 WV Primary

Addresses

Primary practice location

34 W Virginia Way Ste 1
Ranson, WV 25438-4882

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 575-6200

Other practice location 1

43490 Yukon Dr Ste 212
Ashburn, VA 20147-7326
Phone (703) 729-7920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, WV3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240517000262 DC Practitioner - Physical Therapist in Private Practice 7810338175 Reassigns benefits to 1 organization
I20240528000501 VA Practitioner - Physical Therapist in Private Practice 7810338175
I20260121002915 WV Practitioner - Physical Therapist in Private Practice 7810338175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Sportscare and Rehab of West Virginia LLCGroup PAC ID 7719037027, 15 clinicians
Jackson Clinics Limited PartnershipGroup PAC ID 2860623295, 116 clinicians

Practice addresses (Care Compare)

34 W Virginia Way
Suite 1
Ranson, WV 25438-4882
Phone (304) 728-9090

5900 Fort Dr
Suite 208
Centreville, VA 20121-2425
Phone (703) 830-6360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305216394VAMDPhysical Therapist
PT004926WVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Clinics Limited Partnership Physical Therapist CurrentSince May 10, 2024 Accepting new patients
Professional Sportscare & Rehab of West Virginia, LLC Physical Therapist CurrentSince Jan 7, 2026 Accepting new patients
The Jackson Clinics LLC Physical Therapist PastSince Apr 28, 2024 Accepting new patients

Locations

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

43490 Yukon Dr
Ashburn, VA 20147
Phone (703) 729-7920

43490 Yukon Dr
Ste 212
Ashburn, VA 20147
Phone (703) 729-7920

5900 Fort Dr
Ste 208
Centreville, VA 20121
Phone (703) 830-6360

12701 Fair Lakes Cir
Ste 102
Fairfax, VA 22033

5078 Williamsport Pike
#1
Martinsburg, WV 25404
Phone (304) 229-4141

5078 Williamsport Pike
Ste I
Martinsburg, WV 25404
Phone (304) 271-8895

34 West Virginia Way
Ste 1
Ranson, WV 25438
Phone (304) 728-9090

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": "1714003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1902652456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "630-575-6200",
            "fax_number": "410-648-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 W VIRGINIA WAY STE 1",
            "city": "RANSON",
            "state": "WV",
            "postal_code": "254384882",
            "telephone_number": "304-728-9090",
            "fax_number": "304-728-9087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43490 Yukon Dr Ste 212",
            "address_purpose": "LOCATION",
            "city": "Ashburn",
            "state": "VA",
            "postal_code": "201477326",
            "country_code": "US",
            "telephone_number": "703-729-7920",
            "fax_number": "703-729-7923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHAFFER",
        "first_name": "NATHAN",
        "middle_name": "C",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-25",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305216394",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "PT004926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ranson, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; 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.