Provider Demographics
NPI:1962040444
Name:SCHEMBRA, LADA (PT, DPT, CLT)
Entity Type:Individual
Prefix:DR
First Name:LADA
Middle Name:
Last Name:SCHEMBRA
Suffix:
Gender:F
Credentials:PT, DPT, CLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:163 WILLIAMSBURG DR
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:IL
Mailing Address - Zip Code:60103-4046
Mailing Address - Country:US
Mailing Address - Phone:847-254-5232
Mailing Address - Fax:
Practice Address - Street 1:163 WILLIAMSBURG DR
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:IL
Practice Address - Zip Code:60103-4046
Practice Address - Country:US
Practice Address - Phone:847-254-5232
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-16
Last Update Date:2023-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI14877-24225100000X
FLPT35853225100000X
IL070.024850225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist