Provider Demographics
NPI:1669944070
Name:SCHOTT, JOHN DANA (PT, DPT)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:DANA
Last Name:SCHOTT
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:143 JOHN ST
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901
Mailing Address - Country:US
Mailing Address - Phone:831-422-4782
Mailing Address - Fax:831-422-4784
Practice Address - Street 1:143 JOHN ST
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901
Practice Address - Country:US
Practice Address - Phone:831-422-4782
Practice Address - Fax:831-422-4784
Is Sole Proprietor?:No
Enumeration Date:2018-12-24
Last Update Date:2020-06-16
Deactivation Date:2020-05-12
Deactivation Code:
Reactivation Date:2020-06-02
Provider Licenses
StateLicense IDTaxonomies
CAPT298320225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist