Provider Demographics
NPI:1699753855
Name:SCHWARZ, JEFFREY KARL (PT)
Entity type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:KARL
Last Name:SCHWARZ
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 TECHNOLOGY DR STE 150
Mailing Address - Street 2:
Mailing Address - City:CANONSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15317-9531
Mailing Address - Country:US
Mailing Address - Phone:412-531-2902
Mailing Address - Fax:412-531-2948
Practice Address - Street 1:202 JACOB MURPHY LN
Practice Address - Street 2:ST 101
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-2686
Practice Address - Country:US
Practice Address - Phone:724-434-2720
Practice Address - Fax:724-434-2710
Is Sole Proprietor?:No
Enumeration Date:2006-01-06
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT000657E225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA063431OtherHIGHMARK BLUE SHIELD
063431P3DMedicare ID - Type Unspecified