Individual provider Active NPI

Andrew Schott

  • Chiropractor
  • Fort Wayne, IN
National Provider Identifier
1922473503
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08003479A Issued in IN
Practice address
1114 W Cook Rd
Fort Wayne, IN 46825-3214
Phone
(260) 483-5588
Fax
(260) 489-1819
NPI assigned
Dec 7, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA. 10141 OH
Chiropractor 111N00000X 08003479A IN Primary

Addresses

Primary practice location

1114 W Cook Rd
Fort Wayne, IN 46825-3214

Mailing address

2910 Lermitage PL
Stow, OH 44224-5219

Other practice location 1

2910 Lermitage Pl
Stow, OH 44224-5219
Phone (330) 688-1188

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260602002259 OH Practitioner - Chiropractic 2961973821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3313 Lee St NW
North Canton, OH 44720-4735

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08003479AINMDChiropractor
PTA. 10141OHMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Edgewood Chiropractic Center PC Chiropractor CurrentSince Aug 17, 2025 Accepting new patients

Locations

1114 W Cook Rd
Fort Wayne, IN 46825
Phone (260) 482-5588

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1922473503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 LERMITAGE PL",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442245219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 W COOK RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468253214",
            "telephone_number": "260-483-5588",
            "fax_number": "260-489-1819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2910 Lermitage Pl",
            "address_purpose": "LOCATION",
            "city": "Stow",
            "state": "OH",
            "postal_code": "442245219",
            "country_code": "US",
            "telephone_number": "330-688-1188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHOTT",
        "first_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-07",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "PTA. 10141",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08003479A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.