Provider Demographics
NPI:1780741801
Name:SCHWEIN, JAMES (PTA)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:
Last Name:SCHWEIN
Suffix:
Gender:M
Credentials:PTA
Other - Prefix:MR
Other - First Name:JAMES
Other - Middle Name:
Other - Last Name:SCHWEIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PTA
Mailing Address - Street 1:4455 S PADRE ISLAND DR
Mailing Address - Street 2:SUITE 8
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-5101
Mailing Address - Country:US
Mailing Address - Phone:361-986-0708
Mailing Address - Fax:361-986-0751
Practice Address - Street 1:4455 S PADRE ISLAND DR
Practice Address - Street 2:SUITE 8
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-5101
Practice Address - Country:US
Practice Address - Phone:361-986-0708
Practice Address - Fax:361-986-0751
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2045144225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2045144OtherPTA