Individual provider Active NPI

Brett Ryan Schaefer, DPT

  • Physical Therapist
  • Norfolk, VA
National Provider Identifier
1922882695
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305215856 Issued in VA
Practice address
6201 E Virginia Beach Blvd Ste 110
Norfolk, VA 23502-2807
Phone
(757) 261-0820
NPI assigned
Aug 23, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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 2305215856 VA Primary

Addresses

Primary practice location

6201 E Virginia Beach Blvd Ste 110
Norfolk, VA 23502-2807

Mailing address

928 Diamond Springs Rd Ste 103
Virginia Beach, VA 23455-6601
Phone (757) 395-1975

Other practice location 1

928 Diamond Springs Rd Ste 103
Virginia Beach, VA 23455-6601
Phone (757) 395-1975

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240315002564 VA Practitioner - Physical Therapist in Private Practice 3678919313 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305215856VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Therapy Solutions, LLC Physical Therapist CurrentSince Nov 19, 2023 Accepting new patients
Sentara Therapy Solutions, LLC Physical Therapist CurrentSince Nov 19, 2023 Accepting new patients
Sentara Hospitals PastSince Sep 5, 2023 Accepting new patients

Locations

4439 Virginia Beach Blvd
Virginia Beach, VA 23462
Phone (757) 252-0590

984B Laskin Rd
Virginia Beach, VA 23451
Phone (757) 395-6900

928 Diamond Springs Rd
Ste 103
Virginia Beach, VA 23455
Phone (757) 395-1975

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": "1692748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1922882695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 DIAMOND SPRINGS RD STE 103",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556601",
            "telephone_number": "757-395-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 E VIRGINIA BEACH BLVD STE 110",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235022807",
            "telephone_number": "757-261-0820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "928 Diamond Springs Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234556601",
            "country_code": "US",
            "telephone_number": "757-395-1975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHAEFER",
        "first_name": "BRETT",
        "middle_name": "RYAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-23",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305215856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.