Provider Demographics
NPI:1477712032
Name:SCHWAGER, MATTHEW L (DPT)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:L
Last Name:SCHWAGER
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1550 S CODDINGTON AVE STE C
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68522-4402
Mailing Address - Country:US
Mailing Address - Phone:402-423-0303
Mailing Address - Fax:402-423-0202
Practice Address - Street 1:1550 S CODDINGTON AVE STE C
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68522-4402
Practice Address - Country:US
Practice Address - Phone:402-423-0303
Practice Address - Fax:402-423-0202
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-08
Last Update Date:2020-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE26432251X0800X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic