NICHOLAS L SCHROEDER (PT, DPT) – Physical Medicine & Rehabilitation Physician, NPI 1679002372

NICHOLAS L SCHROEDER (PT, DPT) is a healthcare provider. based in San diego, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 293080 (CA). The NPI Number for NICHOLAS L SCHROEDER (PT, DPT) is 1679002372

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS L SCHROEDER (PT, DPT)
NPI
1679002372
Phone
Not provided
Address
3959 RUFFIN RD STE J
Enumeration Date
6 June 2017
Last Update Date
6 June 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6192293909
Graduation Year
2017 (9 years ago)
PAC ID
1052680725
Group Practice PAC ID
7113812496
Professional Enrollment ID
I20170712001467
Address ID
CA921205238SA6699XRDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

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Provider Addresses for NICHOLAS L SCHROEDER (PT, DPT)

  • 3959 RUFFIN RD STE J

    SAN DIEGO, CA 921231830

    Phone:

    Type: Mailing

  • Fletcher Parkway, La Mesa, San Diego County, California, 91942, United States

    LA MESA, CA 919426106

    Phone: (619) 460-0137

    Fax: (619) 460-0139

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-07-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170712001467IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities58268$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes48575$0
97140Therapy procedure using manual technique, each 15 minutes33863$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes17137$0
97161Evaluation for physical therapy, typically 20 minutes7067$0
View full utilization report →

Insurance plans in this area (ZIP 92123)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7113812496View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeCA
Family PracticeCA
Emergency MedicineCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Sports Medicine, Family PracticeWA
Family Practice, Sports MedicineCA
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

What identifier follows NICHOLAS L SCHROEDER (PT, DPT) across health systems?
The NPI 1679002372 uniquely identifies NICHOLAS L SCHROEDER (PT, DPT) in U.S. healthcare data.
Quick check: is NICHOLAS L SCHROEDER (PT, DPT) active?
Public NPPES data shows NICHOLAS L SCHROEDER (PT, DPT) with an active NPI status right now.
What type of care does NICHOLAS L SCHROEDER (PT, DPT) provide?
NICHOLAS L SCHROEDER (PT, DPT)'s profile centers on Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
Can patients visit NICHOLAS L SCHROEDER (PT, DPT) in San Diego, California?
For routing, start with San Diego, California for NICHOLAS L SCHROEDER (PT, DPT), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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