MEDICARE: MRS. KRISTINA M. SCHWINT P.T.

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	PT 12683	FL
2	225100000X	Physical Therapist	015961-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	Y089A	OTHER	FL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1871518852
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KRISTINA M. SCHWINT P.T.

Provider Business Mailing Address
First Line	:	4190 BEACH VIEW CT
Second Line	:
City	:	PORT CHARLOTTE
State	:	FL
Zip	:	33948-2204
Country	:	US
Telephone Number	:	941-625-6329
Fax Number	:

Provider Business Practice Location Address
First Line	:	3089 TAMIAMI TRAIL
Second Line	:	UNIT B
City	:	PORT CHARLOTTE
State	:	FL
Zip	:	33952-8052
Country	:	US
Telephone Number	:	941-661-6826
Fax Number	:

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

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	07/08/2007

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