Individual provider Active NPI

Marc Schoettle, PT, DPT

  • Physical Therapist
  • New Market, MD
National Provider Identifier
1972935203
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
29049 Issued in MD
Practice address
11704 Barn Swallow Way
New Market, MD 21774-7010
Phone
(610) 547-6384
NPI assigned
Aug 9, 2013
Last updated
Mar 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT023079 PA
Physical Therapist 225100000X 5501302377 MI
Physical Therapist 225100000X 29049 MD Primary

Addresses

Primary practice location

11704 Barn Swallow Way
New Market, MD 21774-7010

Mailing address

11704 Barn Swallow Way
New Market, MD 21774-7010
Phone (610) 547-6384

Other practice location 1

540 Main St
Belleville, MI 48111-2650
Phone (734) 489-6440

Other practice location 2

2456 W Main St
Norristown, PA 19403-3066
Phone (610) 630-0101

Other practice location 3

1311 Mamaroneck Ave Ste 140
White Plains, NY 10605-5224
Phone (914) 294-4050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230421001373 NJ Practitioner - Physical Therapist in Private Practice 8426288549 Reassigns benefits to 1 organization
I20250424000909 MD Practitioner - Physical Therapist in Private Practice 8426288549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, 1,992 clinicians

Practice addresses (Care Compare)

84 Thomas Johnson CT
Suite B
Frederick, MD 21702-4678
Phone (301) 662-8541

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29049MDMDPhysical Therapist
PT023079PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Network Inc. Physical Therapist CurrentSince Apr 3, 2023 Accepting new patients
Select Physical Therapy Holdings Inc CurrentSince Mar 18, 2025 Accepting new patients
Select Physical Therapy Holdings, Inc. CurrentSince Mar 18, 2025 Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Apr 3, 2023 Accepting new patients
Select Physical Therapy Holdings Inc Current Accepting new patients

Locations

7101 Guilford Dr
Ste 202
Frederick, MD 21704
Phone (240) 549-5330

84 Thomas Johnson Ct
Ste B
Frederick, MD 21702
Phone (301) 662-8541

2605 Route 130 S
Ste 1
Cinnaminson, NJ 08077
Phone (856) 288-7230

731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780

454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905

1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1376006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1972935203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11704 BARN SWALLOW WAY",
            "city": "NEW MARKET",
            "state": "MD",
            "postal_code": "217747010",
            "telephone_number": "610-547-6384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11704 BARN SWALLOW WAY",
            "city": "NEW MARKET",
            "state": "MD",
            "postal_code": "217747010",
            "telephone_number": "610-547-6384"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 Main St",
            "address_purpose": "LOCATION",
            "city": "Belleville",
            "state": "MI",
            "postal_code": "481112650",
            "country_code": "US",
            "telephone_number": "734-489-6440",
            "fax_number": "734-418-7553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2456 W Main St",
            "address_purpose": "LOCATION",
            "city": "Norristown",
            "state": "PA",
            "postal_code": "194033066",
            "country_code": "US",
            "telephone_number": "610-630-0101",
            "fax_number": "610-630-1068",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1311 Mamaroneck Ave Ste 140",
            "address_purpose": "LOCATION",
            "city": "White Plains",
            "state": "NY",
            "postal_code": "106055224",
            "country_code": "US",
            "telephone_number": "914-294-4050",
            "fax_number": "215-855-8748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHOETTLE",
        "first_name": "MARC",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-09",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT023079",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501302377",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "29049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Market, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.