Individual provider Active NPI

Keith Schuchardt, PT

  • Physical Therapist
  • Gilbert, AZ
National Provider Identifier
1962000612
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT31351 Issued in AZ
Practice address
1534 E Ray Rd Ste 104
Gilbert, AZ 85296-4429
Phone
(480) 855-5542
NPI assigned
Oct 14, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 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 LPT31351 AZ Primary

Addresses

Primary practice location

1534 E Ray Rd Ste 104
Gilbert, AZ 85296-4429

Mailing address

14287 N 87TH St Ste 220
Scottsdale, AZ 85260-3698
Phone (480) 937-1000

Other identifiers 1

IdentifierTypeStateIssuer
CP014717TOtherTXPT COMPACT PRIVILEGE VERIFICATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210514002355 AZ Practitioner - Physical Therapist in Private Practice 8820407208 Reassigns benefits to 3 organizations
I20221014001305 TX Practitioner - Physical Therapist in Private Practice 8820407208 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPT31351AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Meredith S. Tittle, P.T., LLC Physical Therapist CurrentSince Sep 14, 2022 Accepting new patients
Spooner Physical Therapy & Hand Rehab, PC CurrentSince Jun 19, 2023 Accepting new patients
Independent by Design, PLLC CurrentSince Oct 1, 2020 Accepting new patients
Summit Physical Therapy Az LLC Physical Therapist CurrentSince Jan 1, 2021 Accepting new patients
Phoenix Children'S Medical Group CurrentSince Jul 27, 2023 Accepting new patients
Spooner Physical Therapy & Hand Rehab, PC Current Accepting new patients
Spooner Physical Therapy and Hand Rehab, PC Physical Therapist CurrentSince Jun 19, 2023 Accepting new patients
Phoenix Children'S Hospital Current Accepting new patients

Locations

3530 S Val Vista Dr
Ste B205
Gilbert, AZ 85297
Phone (602) 933-1813

1534 E Ray Rd
Ste 104
Gilbert, AZ 85296
Phone (480) 855-5542

891 E Warner Rd
Ste A100
Gilbert, AZ 85296
Phone (480) 416-4675

1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777

2108 E Thomas Rd
Ste 130
Phoenix, AZ 85016

9097 E Desert Cove Ave
Ste 110
Scottsdale, AZ 85260
Phone (480) 860-4298

14287 N 87th St
Ste 220
Scottsdale, AZ 85260

8195 Custer Rd
Ste 100
Frisco, TX 75035
Phone (940) 241-1215

4040 Bryce Ln
Lewisville, TX 75077
Phone (940) 241-1215

Organizations & group practices 8

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": "1602633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1962000612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14287 N 87TH ST STE 220",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603698",
            "telephone_number": "480-937-1000",
            "fax_number": "480-860-0356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1534 E RAY RD STE 104",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852964429",
            "telephone_number": "480-855-5542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUCHARDT",
        "first_name": "KEITH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-14",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT31351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT COMPACT PRIVILEGE VERIFICATION",
            "identifier": "CP014717T",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.