Healthcare Provider Details

I. General information

NPI: 1588651590
Provider Name (Legal Business Name): SCHAUER PHYSICAL THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7686 W RIDGE RD
FAIRVIEW PA
16415-1074
US

IV. Provider business mailing address

PO BOX 666
FAIRVIEW PA
16415-0666
US

V. Phone/Fax

Practice location:
  • Phone: 814-474-9233
  • Fax: 814-474-9090
Mailing address:
  • Phone: 814-474-9233
  • Fax: 814-474-9090

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number023284
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT10027
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT008529L
License Number StatePA

VIII. Authorized Official

Name: WADE A SCHAUER
Title or Position: CEO
Credential: PHD MPT
Phone: 814-474-9233