Active NPI
John Michael Schruth, MS,PT
- Physical Therapist
- Spokane, WA
National Provider Identifier
1942335112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00000822
- Practice address
- 2204 E 29TH Ave
Suite 202
Spokane, WA 99203-3961 - Phone
- (509) 536-1761
- Fax
- (509) 536-1763
- NPI assigned
- Feb 21, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00000822 | WA | Primary |
Addresses
Primary practice location
2204 E 29TH Ave
Suite 202
Spokane, WA 99203-3961
Mailing address
2204 E 29TH Ave
Suite 202
Spokane, WA 99203-3961
Phone (509) 536-1761
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7032246 | Medicaid | WA | |
| 146129146129 | Other | WA | PREMERA |
| 911486101 0007 | Other | WA | CIGNA |
| 60362 | Other | WA | LABOR AND INDUSTRIES |
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Physical Therapy Center | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Spokane, WA
- NPI 1316144140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942335112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2204 E 29TH AVE",
"address_2": "SUITE 202",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992033961",
"telephone_number": "509-536-1761",
"fax_number": "509-536-1763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2204 E 29TH AVE",
"address_2": "SUITE 202",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992033961",
"telephone_number": "509-536-1761",
"fax_number": "509-536-1763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHRUTH",
"first_name": "JOHN",
"middle_name": "MICHAEL",
"credential": "MS,PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00000822",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7032246",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREMERA",
"identifier": "146129146129",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "911486101 0007",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES",
"identifier": "60362",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.