Provider Demographics
NPI:1225462526
Name:SCHWAB, BARRY LEE (PT)
Entity Type:Individual
Prefix:MR
First Name:BARRY
Middle Name:LEE
Last Name:SCHWAB
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7710 SANDALWOOD DR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-4344
Mailing Address - Country:US
Mailing Address - Phone:402-802-1843
Mailing Address - Fax:
Practice Address - Street 1:11041 N 137TH ST
Practice Address - Street 2:
Practice Address - City:WAVERLY
Practice Address - State:NE
Practice Address - Zip Code:68462-1022
Practice Address - Country:US
Practice Address - Phone:402-786-2626
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-23
Last Update Date:2013-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3186225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist