MEDICARE: TRACI SCHWARK 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	5502006237	MI

General Provider Information

NPI Number	:	1497333280
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRACI SCHWARK PTA

Provider Business Mailing Address
First Line	:	33900 HARPER AVE STE 104
Second Line	:
City	:	CLINTON TWP
State	:	MI
Zip	:	48035-4258
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1854 W AUBURN RD STE 200
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48309-3868
Country	:	US
Telephone Number	:	248-243-3330
Fax Number	:	248-243-3331

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

Provider Enumeration Date	:	04/01/2021
Last Update Date	:	02/09/2026

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Directions to “ TRACI SCHWARK PTA” Practice Location

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