IndividualActive
Susan Moyle-Schroeder, PTA
NPI 1053534792 · Specialist · Jacksonville Beach, FL
Provider details
- NPI number
- 1053534792
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 7232A (AZ)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
333 1st St N Ste 200
Jacksonville Beach, FL 32250-6939
Phone: (888) 909-5038
Street-level locationGet directions
Mailing address
171 Whispering Pine Way
Hollister, MO 65672-5574
Registry dates
- Enumerated
- 2007-04-11
- Last updated
- 2018-12-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.