Provider Demographics
NPI:1578513081
Name:SCHWARTZE, HENRY (PT)
Entity Type:Individual
Prefix:
First Name:HENRY
Middle Name:
Last Name:SCHWARTZE
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9717 ELKHORN ST
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-5139
Mailing Address - Country:US
Mailing Address - Phone:303-217-3118
Mailing Address - Fax:303-568-9456
Practice Address - Street 1:9717 ELKHORN ST
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-5139
Practice Address - Country:US
Practice Address - Phone:303-217-3118
Practice Address - Fax:303-568-9456
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPT 8578225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO532138Medicare PIN