Healthcare Provider Details

I. General information

NPI: 1811459969
Provider Name (Legal Business Name): SARAH SCHWARZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/05/2019
Last Update Date: 04/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5972 N CHURCH ST
GLEN ROCK PA
17327-8836
US

IV. Provider business mailing address

5972 N CHURCH ST
GLEN ROCK PA
17327-8836
US

V. Phone/Fax

Practice location:
  • Phone: 717-521-3124
  • Fax:
Mailing address:
  • Phone: 717-521-3124
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT023764
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License NumberPT023764
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
IdentifierPT023764
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerCOMMONWEALTH OF PA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: