MEDICARE: JENNIFFER ANE SCHILE PTA

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	225200000X	Physical Therapy Assistant	PTA20817	FL

General Provider Information

NPI Number	:	1487905485
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFFER ANE SCHILE PTA

Provider Business Mailing Address
First Line	:	3003 INDIAN CREEK DR
Second Line	:	APT B4
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-4159
Country	:	US
Telephone Number	:	305-302-5580
Fax Number	:

Provider Business Practice Location Address
First Line	:	3003 INDIAN CREEK DR
Second Line	:	APT B4
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-4159
Country	:	US
Telephone Number	:	305-302-5580
Fax Number	:

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

Provider Enumeration Date	:	10/01/2012
Last Update Date	:	10/01/2012

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