Provider Demographics
NPI:1336182625
Name:SCHWARTZ, PATTI L (PT)
Entity Type:Individual
Prefix:MS
First Name:PATTI
Middle Name:L
Last Name:SCHWARTZ
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 1:700 ALMA
Mailing Address - Street 2:STE 135
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075
Mailing Address - Country:US
Mailing Address - Phone:972-424-5840
Mailing Address - Fax:972-423-9427
Practice Address - Street 1:700 ALMA
Practice Address - Street 2:STE 135
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075
Practice Address - Country:US
Practice Address - Phone:972-424-5840
Practice Address - Fax:972-423-9427
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-14
Last Update Date:2022-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX123968225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
80376TOtherBLUE CROSS
TX800T07Medicare ID - Type Unspecified