Individual provider Active NPI

John Arthur Schaefer, P.T.

  • Physical Therapist
  • Rockville, MD
National Provider Identifier
1942369954
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15184 Issued in MD
Practice address
15825 Shady Grove Rd
Suite 50
Rockville, MD 20850-4008
Phone
(301) 987-0999
Fax
(310) 987-7123
NPI assigned
Dec 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 15184 MD Primary

Addresses

Primary practice location

15825 Shady Grove Rd
Suite 50
Rockville, MD 20850-4008

Mailing address

404 Grist Mill Xing
Severna Park, MD 21146-2321
Phone (410) 987-1741

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200317002090 MD Practitioner - Physical Therapist in Private Practice 2567459886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Northwestern University Feinberg Medical School, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Annapolis Family Physical Therapy, IncGroup PAC ID 9032255401, 8 clinicians

Practice addresses (Care Compare)

2564 Riva Rd
Annapolis, MD 21401-7405
Phone (410) 266-6626

Merit-based Incentive Payment System (MIPS)

Final score
92.03 of 100Reported as individual
Quality
84.06
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
15184MDMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Annapolis Family Physical Therapy, Inc Physical Therapist CurrentSince Feb 13, 2020 Accepting new patients

Locations

2564 Riva Rd
Annapolis, MD 21401
Phone (410) 266-6626

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942369954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 GRIST MILL XING",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211462321",
            "telephone_number": "410-987-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15825 SHADY GROVE RD",
            "address_2": "SUITE 50",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208504008",
            "telephone_number": "301-987-0999",
            "fax_number": "310-987-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEFER",
        "first_name": "JOHN",
        "middle_name": "ARTHUR",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "15184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

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.
  • 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.