Provider Demographics
NPI:1609081843
Name:SCHWARTZ, JAMIE ANASTASIA (PTA)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:ANASTASIA
Last Name:SCHWARTZ
Suffix:
Gender:
Credentials:PTA
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:ANASTASIA
Other - Last Name:SCHULTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PTA
Mailing Address - Street 1:3224 ELMO WAY
Mailing Address - Street 2:
Mailing Address - City:MOORE
Mailing Address - State:OK
Mailing Address - Zip Code:73160-2385
Mailing Address - Country:US
Mailing Address - Phone:405-863-2580
Mailing Address - Fax:
Practice Address - Street 1:921 NE 13TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-5007
Practice Address - Country:US
Practice Address - Phone:405-456-3905
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK871225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant