Provider Demographics
NPI:1447041108
Name:SCHLENOFF, JAKE I (DPT)
Entity type:Individual
Prefix:DR
First Name:JAKE
Middle Name:I
Last Name:SCHLENOFF
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 1:4504 W SPRUCE ST APT 341
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-5886
Mailing Address - Country:US
Mailing Address - Phone:240-252-9026
Mailing Address - Fax:
Practice Address - Street 1:13451 FISHHAWK BLVD
Practice Address - Street 2:
Practice Address - City:LITHIA
Practice Address - State:FL
Practice Address - Zip Code:33547-3833
Practice Address - Country:US
Practice Address - Phone:813-324-8009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist