Provider Demographics
NPI:1942287073
Name:SCHWEIKHARD, JOE HANS (PT)
Entity Type:Individual
Prefix:MR
First Name:JOE
Middle Name:HANS
Last Name:SCHWEIKHARD
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 1:5905 REMINGTON CIR
Mailing Address - Street 2:SUITE B
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72903-6523
Mailing Address - Country:US
Mailing Address - Phone:918-649-0027
Mailing Address - Fax:918-649-0031
Practice Address - Street 1:400 N. BROADWAY
Practice Address - Street 2:SUITE B
Practice Address - City:POTEAU
Practice Address - State:OK
Practice Address - Zip Code:74953
Practice Address - Country:US
Practice Address - Phone:918-649-0027
Practice Address - Fax:918-649-0031
Is Sole Proprietor?:No
Enumeration Date:2005-12-29
Last Update Date:2016-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2428225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00225744OtherMEDICARE RAILROAD
OK200035750AMedicaid
P00225744OtherMEDICARE RAILROAD