Healthcare Provider Details

I. General information

NPI: 1700340585
Provider Name (Legal Business Name): KARL MARTIN SCHWARTZ OTR/L
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/25/2019
Last Update Date: 07/30/2024
Certification Date: 07/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 MIDLAND AVE
GLENWOOD SPRINGS CO
81601-4010
US

IV. Provider business mailing address

2800 MIDLAND AVE
GLENWOOD SPRINGS CO
81601-4010
US

V. Phone/Fax

Practice location:
  • Phone: 303-669-1420
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XE0001X
TaxonomyEnvironmental Modification Occupational Therapist
License NumberOT.0003624
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number3624
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code225XG0600X
TaxonomyGerontology Occupational Therapist
License NumberOT.0003624
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: