Healthcare Provider Details

I. General information

NPI: 1225463656
Provider Name (Legal Business Name): JOHN PAUL SCHUTT DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2013
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5962 OTTAWA DR
CHEYENNE WY
82001-6162
US

IV. Provider business mailing address

5962 OTTAWA DR
CHEYENNE WY
82001-6162
US

V. Phone/Fax

Practice location:
  • Phone: 312-659-5098
  • Fax:
Mailing address:
  • Phone: 312-659-5098
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number1509
License Number StateWY
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: