Healthcare Provider Details

I. General information

NPI: 1508790692
Provider Name (Legal Business Name): MARCHMONT DANIEL SCHWARTZ
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4836 E MCDOWELL RD STE 101
PHOENIX AZ
85008-7713
US

IV. Provider business mailing address

1023 W 5TH ST UNIT 1005
TEMPE AZ
85281-2547
US

V. Phone/Fax

Practice location:
  • Phone: 480-408-4822
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberPTA-015159
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: