Provider Demographics
NPI:1336717701
Name:SCHNITMAN, NATHANIEL (PT, DPT, CSCS)
Entity Type:Individual
Prefix:
First Name:NATHANIEL
Middle Name:
Last Name:SCHNITMAN
Suffix:
Gender:M
Credentials:PT, DPT, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3713 CALLE JOAQUIN
Mailing Address - Street 2:
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-3041
Mailing Address - Country:US
Mailing Address - Phone:818-917-8372
Mailing Address - Fax:
Practice Address - Street 1:8730 W SUNSET BLVD
Practice Address - Street 2:
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90069-2210
Practice Address - Country:US
Practice Address - Phone:323-213-9263
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-14
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA300302225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist