Provider Demographics
NPI:1013968874
Name:SCHWARTZ, ERIC BRYAN (MPT)
Entity Type:Individual
Prefix:MR
First Name:ERIC
Middle Name:BRYAN
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4141 MERMELL CIRCLE
Mailing Address - Street 2:
Mailing Address - City:NORTH PORT
Mailing Address - State:FL
Mailing Address - Zip Code:34286
Mailing Address - Country:US
Mailing Address - Phone:941-587-9401
Mailing Address - Fax:941-429-7505
Practice Address - Street 1:1500 PLACIDA RD
Practice Address - Street 2:UNIT F 5
Practice Address - City:ENGLEWOOD
Practice Address - State:FL
Practice Address - Zip Code:34223
Practice Address - Country:US
Practice Address - Phone:941-474-1558
Practice Address - Fax:941-474-1544
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT202162251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE7954WMedicare ID - Type Unspecified