MEDICARE: DR. CHRISTOPHER ROBERT SCHROEDER DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PTT38772	FL

General Provider Information

NPI Number	:	1245979566
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER ROBERT SCHROEDER DPT

Provider Business Mailing Address
First Line	:	12050 ETRIS RD STE E150
Second Line	:
City	:	ROSWELL
State	:	GA
Zip	:	30075-8022
Country	:	US
Telephone Number	:	470-349-8884
Fax Number	:

Provider Business Practice Location Address
First Line	:	4705 PALM HARBOR BLVD STE A19
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34683-1440
Country	:	US
Telephone Number	:	727-781-3550
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2022
Last Update Date	:	06/03/2022

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