Healthcare Provider Details

I. General information

NPI: 1548432198
Provider Name (Legal Business Name): SCHRAMM PHYSICAL THERAPY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2008
Last Update Date: 04/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

451 SE RIVERSIDE DR
STUART FL
34994-2584
US

IV. Provider business mailing address

451 SE RIVERSIDE DR
STUART FL
34994-2584
US

V. Phone/Fax

Practice location:
  • Phone: 772-286-2287
  • Fax: 772-223-0437
Mailing address:
  • Phone: 772-286-2287
  • Fax: 772-223-0437

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberPT20041
License Number StateFL

VIII. Authorized Official

Name: CRAIG W SCHRAMM
Title or Position: PRESIDENT
Credential: MSPT
Phone: 772-286-2287