Provider Demographics
NPI:1457364697
Name:FRITTER & SCHULZ PHYSICAL THERAPY
Entity Type:Organization
Organization Name:FRITTER & SCHULZ PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GLENN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHULZ
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:408-847-0107
Mailing Address - Street 1:9460 NO NAME UNO
Mailing Address - Street 2:SUITE 140
Mailing Address - City:GILROY
Mailing Address - State:CA
Mailing Address - Zip Code:95020
Mailing Address - Country:US
Mailing Address - Phone:408-847-0107
Mailing Address - Fax:408-847-0837
Practice Address - Street 1:1710 MEMORIAL DR
Practice Address - Street 2:SUITE A
Practice Address - City:HOLLISTER
Practice Address - State:CA
Practice Address - Zip Code:95023-5700
Practice Address - Country:US
Practice Address - Phone:831-637-8108
Practice Address - Fax:408-847-0837
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-15
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT9291225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ29349ZMedicare ID - Type Unspecified