Provider Demographics
NPI:1548432198
Name:SCHRAMM PHYSICAL THERAPY, INC
Entity Type:Organization
Organization Name:SCHRAMM PHYSICAL THERAPY, INC
Other - Org Name:KERR PHYSICAL THERAPY, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:W
Authorized Official - Last Name:SCHRAMM
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:772-286-2287
Mailing Address - Street 1:451 SE RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-2584
Mailing Address - Country:US
Mailing Address - Phone:772-286-2287
Mailing Address - Fax:772-223-0437
Practice Address - Street 1:451 SE RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-2584
Practice Address - Country:US
Practice Address - Phone:772-286-2287
Practice Address - Fax:772-223-0437
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-24
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT20041261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK7501Medicare PIN