Provider Demographics
NPI:1821140963
Name:SCHOENFELD, ROBIN L (PT)
Entity Type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:L
Last Name:SCHOENFELD
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:ROBIN
Other - Middle Name:L
Other - Last Name:SCHOENFELD OLSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:1560 - 140TH AVENUE NE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005
Mailing Address - Country:US
Mailing Address - Phone:425-746-2475
Mailing Address - Fax:425-746-2471
Practice Address - Street 1:3200 WEST MCGRAW STREET
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98199
Practice Address - Country:US
Practice Address - Phone:206-281-7970
Practice Address - Fax:206-281-7980
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2011-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00008808225100000X
NY021039-1225100000X
WAPT00008808225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8801276Medicare ID - Type Unspecified