Provider Demographics
NPI:1497632624
Name:SCHWARTZ, MARIAH LEIGH (PT, DPT)
Entity type:Individual
Prefix:
First Name:MARIAH
Middle Name:LEIGH
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:MARIAH
Other - Middle Name:LEIGH
Other - Last Name:BUSH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:17910 E CORNELL DR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013-4434
Mailing Address - Country:US
Mailing Address - Phone:850-292-4961
Mailing Address - Fax:
Practice Address - Street 1:13123 E 16TH AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-7106
Practice Address - Country:US
Practice Address - Phone:720-777-1234
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL406002251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics