Provider Demographics
NPI:1912914425
Name:SCHUHMANN-WERTHEIMER, CHERYL (PT, DPT)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:
Last Name:SCHUHMANN-WERTHEIMER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:CHERYL
Other - Middle Name:
Other - Last Name:WERTHEIMER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:PO BOX 1342
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91358-0342
Mailing Address - Country:US
Mailing Address - Phone:805-496-2189
Mailing Address - Fax:805-496-3489
Practice Address - Street 1:415 E ROLLING OAKS DR
Practice Address - Street 2:#180
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91361-1042
Practice Address - Country:US
Practice Address - Phone:805-496-2189
Practice Address - Fax:805-496-3489
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2013-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 8173225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPT8173Medicare ID - Type UnspecifiedPT NUMBER