Provider Demographics
NPI:1134282734
Name:SCHOENBERG, SHERI D (PT)
Entity Type:Individual
Prefix:MS
First Name:SHERI
Middle Name:D
Last Name:SCHOENBERG
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:SHERI
Other - Middle Name:D
Other - Last Name:EINSPAHR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:790 REMINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-4909
Mailing Address - Country:US
Mailing Address - Phone:630-296-2223
Mailing Address - Fax:630-759-9510
Practice Address - Street 1:1919 LATHROP ST
Practice Address - Street 2:STE 123, MEDICAL AND DENTAL ARTS BUILDING
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99701-5937
Practice Address - Country:US
Practice Address - Phone:907-445-4401
Practice Address - Fax:907-455-4402
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2017-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDPT819225100000X
WAPT00006650225100000X
AK106958225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8865840Medicare PIN