Kassandra Schroeder, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A-1158 Issued in NM

Practice address

2400 Farmington Ave
Farmington, NM 87401-4509

Phone

(505) 326-0064

Fax

(505) 327-3995

NPI assigned

Mar 14, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Nexus Health Physical Therapy Inc

  • Physical Therapist
  • Santa Fe, NM
  • NPI 1427810571
  NPD (past)
• Therapy One Inc

  • Physical Therapist
  • Farmington, NM
  • NPI 1770596116
  NPD (past)

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489449600000",
    "number": "1922549641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 N DUSTIN AVE",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874016102",
            "telephone_number": "253-830-4592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874014509",
            "telephone_number": "505-326-0064",
            "fax_number": "505-327-3995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "KASSANDRA",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-14",
        "last_updated": "2017-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NM",
            "license": "A-1158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08171050",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jolene M. Schneider, LADAC
• Rebecca Karen Schonemann, PHARM.D.
• Erica Rose Schramm, LISW
• Daniela Schreffler
• Evan Richard Schroeder, OD
• Charles Mellen Schumacher, D.D.S.
• Lewis J Schwartz, RPH
• Bradley J. Scoggins, D.O.
• Teresa M Scoggins, PA
• Scott D Allen MD & Associates PC

• Physical Therapy Assistant in Farmington, NM
• Providers in Farmington, NM by specialty
• Physical Therapy Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; 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.