Organization Active NPI

Marty Schneider

  • Specialist
  • Antioch, CA
National Provider Identifier
1982762449
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
43871 Issued in CA
Legal business name
MARTY SCHNEIDER
Practice address
4041 Lone Tree Way
Suite 106
Antioch, CA 94531-6200
Phone
(925) 754-6262
Fax
(925) 754-2198
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Mr. Martin David Schneider, P.T.
Title
Owner
Phone
(925) 754-6262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 43871 CA Primary

Addresses

Primary practice location

4041 Lone Tree Way
Suite 106
Antioch, CA 94531-6200

Mailing address

4041 Lone Tree Way
Suite 106
Antioch, CA 94531-6200
Phone (925) 754-6262

Other names 1

  • Antioch Physical Therapy and Sports Injury Center Doing business as

National Provider Directory

National Provider Directory

Locations

4041 Lone Tree Way
Ste 106
Antioch, CA 94531
Phone (510) 754-6262

3501 Lone Tree Way
Ste 1
Antioch, CA 94509
Phone (925) 754-6262

8335 Brentwood Blvd
Ste A
Brentwood, CA 94513
Phone (925) 754-6262

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1982762449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4041 LONE TREE WAY",
            "address_2": "SUITE 106",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945316200",
            "telephone_number": "925-754-6262",
            "fax_number": "925-754-2198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 LONE TREE WAY",
            "address_2": "SUITE 106",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945316200",
            "telephone_number": "925-754-6262",
            "fax_number": "925-754-2198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTY SCHNEIDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-754-6262",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "43871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Antioch Physical Therapy and Sports Injury Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Antioch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.