DR. DENISE SCHMIDT PT, DPT
NPI 1740836592
Physical Therapist - Orthopedic in Greenville, NC

NPI Status: Active since August 16, 2019

Contact Information

1540 E ARLINGTON BLVD
GREENVILLE, NC
ZIP 27858
Phone: (252) 364-2806
Fax: (252) 364-2863

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  • Individual
  • Female
  • Years of Experience 7
  • Physical Therapist
  • Orthopedic
  • Accepts Insurance
  • Accepts Medicare Approved Payment

About DENISE SCHMIDT

This page provides the complete NPI Profile along with additional information for Denise Schmidt, a provider established in Greenville, North Carolina with a medical specialization in Physical Therapist, focusing in orthopedic and more than 7 years of experience. She graduated from Brody School Of Medicine At East Carolina University in 2019. The healthcare provider is registered in the NPI registry with number 1740836592 assigned on August 2019. The practitioner's primary taxonomy code is 2251X0800X with license number P19006 (NC). The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI
1740836592
Provider Name
DR. DENISE SCHMIDT PT, DPT
Gender
Female
Entity Type
Individual
Location Address
1540 E ARLINGTON BLVD GREENVILLE, NC 27858
Location Phone
(252) 364-2806
Location Fax
(252) 364-2863
Mailing Address
1540 E ARLINGTON BLVD GREENVILLE, NC 27858
Mailing Phone
(252) 364-2806
Mailing Fax
(252) 364-2863
Medical School Name
BRODY SCHOOL OF MEDICINE AT EAST CAROLINA UNIVERSITY
Graduation Year
2019
Is Sole Proprietor?
No
Enumeration Date
08-16-2019
Last Update Date
08-16-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapist Orthopedic

Taxonomy Code
2251X0800X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
P19006
License State
NC
Taxonomy Description
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Bronze HSA Eligible | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Standard | Nationwide Doctors - PPO
  • Blue Advantage Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Gold Standard A | Nationwide Doctors - PPO
  • Blue Advantage Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Silver Standard | Nationwide Doctors - PPO
  • Blue Care Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Statewide Doctors - HMO
  • Blue Care Bronze Complete | $60 PCP | $20 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Bronze HSA Eligible | Integrated | Statewide Doctors - HMO
  • Blue Care Bronze Standard | Statewide Doctors - HMO
  • Blue Care Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Gold Standard A | Statewide Doctors - HMO
  • Blue Care Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Statewide Doctors - HMO
  • Blue Care Silver Standard | Statewide Doctors - HMO
  • Blue Value Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Limited Statewide Doctors - POS
  • Blue Value Bronze Complete | $60 PCP | $20 Tier 1 Rx | Limited Statewide Doctors - POS

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Denise Schmidt is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 5395077036

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20191029002459

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Evaluation for physical therapy, typically 30 minutes

An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.

This service was performed 14 times for 13 patients

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

This service was performed 966 times for 70 patients

Therapy procedure using functional activities

A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.

This service was performed 208 times for 36 patients

Therapy procedure using manual technique, each 15 minutes

This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.

This service was performed 322 times for 42 patients

Therapy procedure using water pool to exercises, each 15 minutes

This therapy involves exercising in a water pool for 15-minute intervals. The buoyancy of the water supports your body, reducing stress on joints and muscles. It's beneficial for improving strength, flexibility, and balance. It's a gentle, low-impact form of exercise suitable for all ages.

This service was performed 482 times for 20 patients

Reviews for DR. DENISE SCHMIDT PT, DPT

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1740836592, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
4
Doubled → 8
Pos 4
0
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
3
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
5
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 8 → 16 → 7 6 → 12 → 3 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 8 + 0 + 1 + 6 + 3 + 1 + 2 + 5 + 1 + 8 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1740836592.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Occupational Therapist
1540 E ARLINGTON BLVD
GREENVILLE, NC 27858
Occupational Therapist
1540 E ARLINGTON BLVD
GREENVILLE, NC 27858
Speech-Language Pathologist
1540 E ARLINGTON BLVD
GREENVILLE, NC 27858
Speech-Language Pathologist
1540 E ARLINGTON BLVD
GREENVILLE, NC 27858
Speech-Language Pathologist
1540 E ARLINGTON BLVD
GREENVILLE, NC 27858
Speech-Language Pathologist
1540 E ARLINGTON BLVD
GREENVILLE, NC 27858
Speech-Language Pathologist
1540 E ARLINGTON BLVD
GREENVILLE, NC 27858
Speech-Language Pathologist
1540 E ARLINGTON BLVD
GREENVILLE, NC 27858
Speech-Language Pathologist
1540 E ARLINGTON BLVD
GREENVILLE, NC 27858
Speech-Language Pathologist
1540 E ARLINGTON BLVD
GREENVILLE, NC 27858
Speech-Language Pathologist
1540 E ARLINGTON BLVD
GREENVILLE, NC 27858
Speech-Language Pathologist
1540 E ARLINGTON BLVD
GREENVILLE, NC 27858
Speech-Language Pathologist
1540 E ARLINGTON BLVD
GREENVILLE, NC 27858
Speech-Language Pathologist
1540 E ARLINGTON BLVD
GREENVILLE, NC 27858
Clinic/Center (Physical Therapy)
1540 E ARLINGTON BLVD
GREENVILLE, NC 27858
Speech-Language Pathologist
1540 E ARLINGTON BLVD
GREENVILLE, NC 27858
Physical Therapist
1540 E ARLINGTON BLVD
GREENVILLE, NC 27858
Physical Therapist
1540 E ARLINGTON BLVD
GREENVILLE, NC 27858
Physical Therapist (Orthopedic)
1540 E ARLINGTON BLVD
GREENVILLE, NC 27858
Physical Therapist
1540 E ARLINGTON BLVD
GREENVILLE, NC 27858

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740836592, enumerated as an "individual" on August 16, 2019.

The provider is located at 1540 E ARLINGTON BLVD GREENVILLE, NC 27858 and the phone number is (252) 364-2806.

Physical Therapist with taxonomy code 2251X0800X and a focus in Orthopedic.

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC. Please consult your insurance carrier or call the provider to verify.