Provider Demographics
NPI:1487068664
Name:SCHREINER, JESSICA (DPT)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:SCHREINER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:
Other - Last Name:GARDNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:4475 US 1 S STE 704
Mailing Address - Street 2:
Mailing Address - City:ST AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32086-7282
Mailing Address - Country:US
Mailing Address - Phone:407-782-3163
Mailing Address - Fax:833-968-1990
Practice Address - Street 1:4475 US 1 S STE 704
Practice Address - Street 2:
Practice Address - City:SAINT AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32086-7282
Practice Address - Country:US
Practice Address - Phone:904-792-3940
Practice Address - Fax:833-968-1990
Is Sole Proprietor?:No
Enumeration Date:2014-06-17
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 29002225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist