Provider Demographics
NPI:1578743910
Name:JACIE ENTERPRISES
Entity Type:Organization
Organization Name:JACIE ENTERPRISES
Other - Org Name:SCHRIER PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMEY
Authorized Official - Middle Name:T
Authorized Official - Last Name:SCHRIER
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:240-221-0020
Mailing Address - Street 1:60 MARKET ST
Mailing Address - Street 2:SUITE 206
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-6548
Mailing Address - Country:US
Mailing Address - Phone:301-990-9599
Mailing Address - Fax:301-990-2899
Practice Address - Street 1:60 MARKET ST
Practice Address - Street 2:SUITE 206
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878-6548
Practice Address - Country:US
Practice Address - Phone:301-990-9599
Practice Address - Fax:301-990-2899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-13
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD18151225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty