Provider Demographics
NPI:1144575515
Name:SCHWARTZ, MICHELLE ERIN (PT, DPT)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:ERIN
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 816128
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75381-6128
Mailing Address - Country:US
Mailing Address - Phone:469-416-5250
Mailing Address - Fax:469-416-5260
Practice Address - Street 1:210 W CAMPBELL RD
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-3512
Practice Address - Country:US
Practice Address - Phone:469-416-5250
Practice Address - Fax:469-416-5260
Is Sole Proprietor?:No
Enumeration Date:2012-07-20
Last Update Date:2016-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1219942225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX470446Medicare PIN
TX471489ZS1LMedicare PIN