Provider Demographics
NPI:1265686877
Name:SCHWAB, LYNDI BETH (PT)
Entity Type:Individual
Prefix:MRS
First Name:LYNDI
Middle Name:BETH
Last Name:SCHWAB
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:LYNDI
Other - Middle Name:BETH
Other - Last Name:HALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:6021 CLEVELAND AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231-2256
Mailing Address - Country:US
Mailing Address - Phone:614-895-1090
Mailing Address - Fax:614-895-1475
Practice Address - Street 1:6021 CLEVELAND AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-2256
Practice Address - Country:US
Practice Address - Phone:614-895-1090
Practice Address - Fax:614-895-1475
Is Sole Proprietor?:No
Enumeration Date:2008-11-10
Last Update Date:2012-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT10397225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
12157388OtherCAQH
OHHA4178781Medicare PIN