MEDICARE: JENNIFER ANN SCHULZ DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	070016038	IL
2	2251X0800X	Orthopedic Physical Therapist	PT41867	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	070016038	OTHER	IL	STATE LICENSE

General Provider Information

NPI Number	:	1194901652
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER ANN SCHULZ DPT

Provider Business Mailing Address
First Line	:	16966 CAGAN RIDGE BLVD STE 230
Second Line	:
City	:	CLERMONT
State	:	FL
Zip	:	34714-9656
Country	:	US
Telephone Number	:	352-386-9700
Fax Number	:	352-386-9701

Provider Business Practice Location Address
First Line	:	16966 CAGAN RIDGE BLVD STE 230
Second Line	:
City	:	CLERMONT
State	:	FL
Zip	:	34714-9656
Country	:	US
Telephone Number	:	352-386-9700
Fax Number	:	352-386-9701

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/15/2008
Last Update Date	:	09/04/2024

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