Physician Compare National (NPI:1144785767)

HEALTHCARE PROVIDER: WILLIAM SCHOPP DPT

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1144785767
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1658614615
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20190515002641
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SCHOPP
	Individual professional last name
Provider First Name	WILLIAM
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2018
	Individual professional's medical school graduation year
Primary Specialty	PHYSICAL THERAPY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	291 W 22ND ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 104
	Group Practice or individual's line 2 address
City	SAN PEDRO
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	907317247
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y