MR. KEITH DAVID SCHROEDER – Physical Therapist, NPI 1295541571

MR. KEITH DAVID SCHROEDER is a healthcare provider. based in Beardstown, Illinois. specializing in Physical Therapist. They hold a License No. 070011507 (IL). The NPI Number for MR. KEITH DAVID SCHROEDER is 1295541571

Main info

Male
Name
MR. KEITH DAVID SCHROEDER
NPI
1295541571
Phone
(217) 323-7006
Address
400 E 4TH ST
Enumeration Date
10 December 2024
Last Update Date
10 December 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

Provider Addresses for MR. KEITH DAVID SCHROEDER

  • 400 E 4TH ST

    BEARDSTOWN, IL 626181307

    Phone: (217) 323-7006

    Mailing address matches the actual address.

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: 2025-01-21

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
I20250121001988IPhysical Therapist In Private PracticeILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62618)

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Reviews

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Frequently asked questions

Can I use this page to confirm MR. KEITH DAVID SCHROEDER's NPI?
Yes. MR. KEITH DAVID SCHROEDER is listed with NPI 1295541571 in the public NPI dataset.
Does CMS list MR. KEITH DAVID SCHROEDER as active?
Yes — MR. KEITH DAVID SCHROEDER is active in the NPI listing used on this page.
What taxonomy line describes MR. KEITH DAVID SCHROEDER?
For research purposes, treat MR. KEITH DAVID SCHROEDER as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MR. KEITH DAVID SCHROEDER on a map?
Expect Beardstown, Illinois as a primary anchor for MR. KEITH DAVID SCHROEDER unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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