Individual provider Active NPI

Lori A Schadler, PTA

  • Physical Therapy Assistant
  • Vancouver, WA
National Provider Identifier
1932599727
Registry record updated Jan 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
P1 60031543 Issued in WA
Practice address
16709 NE 10TH Way
Vancouver, WA 98684-6423
Phone
(360) 883-2646
NPI assigned
Jan 31, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2015

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 P1 60031543 WA Primary
Physical Therapy Assistant 225200000X 08123 OR

Addresses

Primary practice location

16709 NE 10TH Way
Vancouver, WA 98684-6423

Mailing address

16709 NE 10TH Way
Vancouver, WA 98684-6423
Phone (360) 883-2646

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
08123ORMDPhysical Therapy Assistant
P1 60031543WAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1422662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422662400000",
    "number": "1932599727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16709 NE 10TH WAY",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986846423",
            "telephone_number": "360-883-2646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16709 NE 10TH WAY",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986846423",
            "telephone_number": "360-883-2646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHADLER",
        "first_name": "LORI",
        "middle_name": "A",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-31",
        "last_updated": "2015-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "P1 60031543",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OR",
            "license": "08123",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2015; 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.