Provider Demographics
NPI:1568078467
Name:SCHRAUTH, JESSICA S (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:S
Last Name:SCHRAUTH
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 S FOREST RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-6444
Mailing Address - Country:US
Mailing Address - Phone:716-634-3195
Mailing Address - Fax:716-634-3193
Practice Address - Street 1:15 S FOREST RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-6444
Practice Address - Country:US
Practice Address - Phone:716-634-3195
Practice Address - Fax:716-634-3193
Is Sole Proprietor?:No
Enumeration Date:2020-09-17
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0463172251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic