Provider Demographics
NPI:1831206283
Name:SCHILLER, JONATHAN BAYER (PT, MS)
Entity type:Individual
Prefix:MR
First Name:JONATHAN
Middle Name:BAYER
Last Name:SCHILLER
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Gender:M
Credentials:PT, MS
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Mailing Address - Street 1:4801 DORSEY HALL DR
Mailing Address - Street 2:SUITE 130
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-7766
Mailing Address - Country:US
Mailing Address - Phone:443-393-3788
Mailing Address - Fax:443-378-3533
Practice Address - Street 1:4801 DORSEY HALL DR
Practice Address - Street 2:SUITE 130
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21042-7766
Practice Address - Country:US
Practice Address - Phone:443-393-3788
Practice Address - Fax:443-378-3533
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2013-02-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MD20452225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist