Provider Demographics
NPI:1891073672
Name:SCHANEN, BILLIE JEAN (PT)
Entity Type:Individual
Prefix:
First Name:BILLIE
Middle Name:JEAN
Last Name:SCHANEN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:631 WHITE PINE TREE RD
Mailing Address - Street 2:UNIT 26
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34285-4203
Mailing Address - Country:US
Mailing Address - Phone:843-684-4044
Mailing Address - Fax:
Practice Address - Street 1:2830 BEE RIDGE RD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-7115
Practice Address - Country:US
Practice Address - Phone:941-927-1234
Practice Address - Fax:941-921-0043
Is Sole Proprietor?:No
Enumeration Date:2011-07-28
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT17742225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist