Provider Demographics
NPI:1487905485
Name:SCHILE, JENNIFFER ANE (PTA)
Entity type:Individual
Prefix:
First Name:JENNIFFER
Middle Name:ANE
Last Name:SCHILE
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3003 INDIAN CREEK DR
Mailing Address - Street 2:APT B4
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-4159
Mailing Address - Country:US
Mailing Address - Phone:305-302-5580
Mailing Address - Fax:
Practice Address - Street 1:3003 INDIAN CREEK DR
Practice Address - Street 2:APT B4
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-4159
Practice Address - Country:US
Practice Address - Phone:305-302-5580
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-01
Last Update Date:2012-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPTA20817225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant