Individual provider Active NPI

Michael Geoffrey Schaack, MSPT FAAOMPT

  • Physical Therapist
  • Roseville, CA
National Provider Identifier
1982636940
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT20175 Issued in CA
Practice address
1620 Lead Hill Blvd
Suite 200
Roseville, CA 95661
Phone
(916) 789-1111
Fax
(916) 789-1304
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

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 PT20175 CA Primary

Addresses

Primary practice location

1620 Lead Hill Blvd
Suite 200
Roseville, CA 95661

Mailing address

5404 Evan CT
Rocklin, CA 95765
Phone (916) 435-0269

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081027000375 CA Practitioner - Physical Therapist in Private Practice 7517025141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schaack Physical Therapy PCGroup PAC ID 0143444992, 8 clinicians

Practice addresses (Care Compare)

801 Sterling Pkwy
Suite 150
Lincoln, CA 95648-7328
Phone (916) 543-7900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT20175CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Schaack Physical Therapy PC Physical Therapist CurrentSince Apr 1, 2014 Accepting new patients

Locations

2330 E Bidwell St
Ste 130
Folsom, CA 95630

111 Woodmere Rd
Ste 270
Folsom, CA 95630

801 Sterling Pkwy
Ste 150
Lincoln, CA 95648
Phone (916) 543-7900

1620 Lead Hill Blvd
Ste 200
Roseville, CA 95661
Phone (916) 789-1111

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982636940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5404 EVAN CT",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "95765",
            "telephone_number": "916-435-0269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 LEAD HILL BLVD",
            "address_2": "SUITE 200",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "95661",
            "telephone_number": "916-789-1111",
            "fax_number": "916-789-1304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAACK",
        "first_name": "MICHAEL",
        "middle_name": "GEOFFREY",
        "credential": "MSPT FAAOMPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT20175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

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.