Provider Demographics
NPI:1366999054
Name:SCHLAIS, CAROLINE (DPT)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:
Last Name:SCHLAIS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2558 S TENNYSON WAY
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80219-5705
Mailing Address - Country:US
Mailing Address - Phone:715-551-1483
Mailing Address - Fax:
Practice Address - Street 1:32135 CASTLE CT
Practice Address - Street 2:STE 100A
Practice Address - City:EVERGREEN
Practice Address - State:CO
Practice Address - Zip Code:80439-8005
Practice Address - Country:US
Practice Address - Phone:813-974-2201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-09
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT33982225100000X
COPTL.00173082251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL101060700Medicaid
FLKM214OtherMEDICARE
FLHURJROtherBLUE CROSS BLUE SHIELD