Individual provider Active NPI

Jennifer Marie Schmelzle, DPT

  • Physical Therapist
  • Waukee, IA
National Provider Identifier
1922257229
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
004247 Issued in IA
Practice address
205 NE Dartmoor Dr
Waukee, IA 50263-9616
Phone
(515) 987-6267
Fax
(515) 987-6269
NPI assigned
Sep 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2008

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 004247 IA Primary

Addresses

Primary practice location

205 NE Dartmoor Dr
Waukee, IA 50263-9616

Mailing address

205 NE Dartmoor Dr
Waukee, IA 50263-9616
Phone (515) 987-6267

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Absolute Performance Therapy, PC Physical Therapist PastSince Nov 15, 2006 Accepting new patients
Community Health Partners LLC Physical Therapist PastSince Jun 1, 2017 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221091200000",
    "number": "1922257229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 NE DARTMOOR DR",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502639616",
            "telephone_number": "515-987-6267",
            "fax_number": "515-987-6269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 NE DARTMOOR DR",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502639616",
            "telephone_number": "515-987-6267",
            "fax_number": "515-987-6269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMELZLE",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-11",
        "last_updated": "2008-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "004247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukee, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.