Active NPI
Jacque Schiavo, ATC
- Athletic Trainer
- Ann Arbor, MI
National Provider Identifier
1952765042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2601000944
- Practice address
- 2577 Jackson Ave
Ann Arbor, MI 48103-3818 - Phone
- (734) 929-6400
- NPI assigned
- Apr 5, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2601000944 | MI | Primary |
Addresses
Primary practice location
2577 Jackson Ave
Ann Arbor, MI 48103-3818
Mailing address
535 Park PL
Saline, MI 48176-1264
Phone (269) 377-7270
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2601000944 | MI | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Probility Therapy Services | Past | Accepting new patients | |
| Probility Therapy Services | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Ypsilanti, MI
- NPI 1164458543
-
dba Probility Physical Therapy
- Rehabilitation Clinic/Center
- Ypsilanti, MI
- NPI 1952873689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459814400000",
"number": "1952765042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 PARK PL",
"city": "SALINE",
"state": "MI",
"postal_code": "481761264",
"telephone_number": "269-377-7270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2577 JACKSON AVE",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481033818",
"telephone_number": "734-929-6400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHIAVO",
"first_name": "JACQUE",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-05",
"last_updated": "2016-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MI",
"license": "2601000944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.