MEDICARE: RICK ADAM SCHUSTER PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	5501302517	MI

General Provider Information

NPI Number	:	1659175321
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICK ADAM SCHUSTER PT, DPT

Provider Business Mailing Address
First Line	:	338 S CEDAR ST
Second Line	:
City	:	KALKASKA
State	:	MI
Zip	:	49646-5117
Country	:	US
Telephone Number	:	231-564-8126
Fax Number	:

Provider Business Practice Location Address
First Line	:	6670 WALKER RD NW
Second Line	:
City	:	RAPID CITY
State	:	MI
Zip	:	49676-9100
Country	:	US
Telephone Number	:	231-564-2461
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/02/2025
Last Update Date	:	04/02/2025

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