Provider Demographics
NPI:1053891697
Name:VAN DER SCHIJFF, CHRISTIAN J (PT, DPT, LAT, ATC)
Entity type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:J
Last Name:VAN DER SCHIJFF
Suffix:
Gender:M
Credentials:PT, DPT, LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10301 BURNET RD APT 2314
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-4597
Mailing Address - Country:US
Mailing Address - Phone:508-494-1800
Mailing Address - Fax:
Practice Address - Street 1:9010 N LAKE CREEK PKWY
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78717
Practice Address - Country:US
Practice Address - Phone:737-707-6737
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-14
Last Update Date:2022-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA23871225100000X
2255A2300X, 390200000X
TXAT89022255A2300X
TX35992255A2300X
TX1355844225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program