Provider Demographics
NPI:1932591716
Name:SCHAIN, JEREMY (PT, DPT)
Entity Type:Individual
Prefix:
First Name:JEREMY
Middle Name:
Last Name:SCHAIN
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 1:8320 OLD COURTHOUSE RD
Mailing Address - Street 2:STE. 401
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-3831
Mailing Address - Country:US
Mailing Address - Phone:703-810-5214
Mailing Address - Fax:703-810-5494
Practice Address - Street 1:2301 S 17TH ST UNIT 2
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401-7901
Practice Address - Country:US
Practice Address - Phone:910-550-1171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-03
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305209301225100000X
NCP18982225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist