Healthcare Provider Details

I. General information

NPI: 1790721439
Provider Name (Legal Business Name): JONATHAN J SCHAEFER LPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2006
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7600 E ARAPAHOE RD STE 215
CENTENNIAL CO
80112-1262
US

IV. Provider business mailing address

7600 E ARAPAHOE RD STE 215
CENTENNIAL CO
80112-1262
US

V. Phone/Fax

Practice location:
  • Phone: 303-857-5720
  • Fax:
Mailing address:
  • Phone: 303-857-5720
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number070009821
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: