Provider Demographics
NPI:1134246440
Name:SCHILLER, BRETT JEFFREY (DPT)
Entity type:Individual
Prefix:
First Name:BRETT
Middle Name:JEFFREY
Last Name:SCHILLER
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 WEST 10TH STREET
Mailing Address - Street 2:
Mailing Address - City:MARCUS HOOK
Mailing Address - State:PA
Mailing Address - Zip Code:19061-4513
Mailing Address - Country:US
Mailing Address - Phone:610-859-8850
Mailing Address - Fax:610-859-7876
Practice Address - Street 1:4948 PENNELL ROAD
Practice Address - Street 2:
Practice Address - City:ASTON
Practice Address - State:PA
Practice Address - Zip Code:19014-1867
Practice Address - Country:US
Practice Address - Phone:610-494-8730
Practice Address - Fax:610-494-8730
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2011-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT018580225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2834804000OtherIBC
PA102516046-0001Medicaid
DE1134246440OtherDELAWARE PHYSICIANS CARE
DE3803007000OtherAMERIHEALTH
PA1955897OtherHIGHMARK BLUE SHIELD
PA30078483OtherKEYSTONE MERCY
DE1134246440Medicaid
PA1134246440OtherBRAVO
DE1134246440OtherDELAWARE PHYSICIANS CARE
PA192723JLZMedicare PIN
PA30078483OtherKEYSTONE MERCY