Edward T Schwarze, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT618 Issued in ID

Practice address

560 Memorial Dr
Suite C
Pocatello, ID 83201-4073

Phone

(208) 233-4648

Fax

(208) 233-4665

NPI assigned

Nov 17, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pocatello Physical Therapy Clinic PA

  • Physical Therapist
  • Pocatello, ID
  • NPI 1184707911
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083788764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 MEMORIAL DR",
            "address_2": "SUITE C",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014073",
            "telephone_number": "208-233-4648",
            "fax_number": "208-233-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 MEMORIAL DR",
            "address_2": "SUITE C",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014073",
            "telephone_number": "208-233-4648",
            "fax_number": "208-233-4665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARZE",
        "first_name": "EDWARD",
        "middle_name": "T",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000010144309",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "T7937",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tangela Schuerman, M.S. CF-SLP
• Jill Ann Schuette, OTR/L
• Robyn Schultz, MS, PT
• Melanie Anne Schulz, RN
• Esmeray L Schwab
• Kimberly W Schwarze, RPT
• Scott Huneycutt MD PLLC
• Brandon Scott, D.O.
• Lindsey Scott, PA-C
• Melissa Scott

• Physical Therapist in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.