MEDICARE: CLAUDIA SCHMIDT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	2021044543	MO
2	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1285391961
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDIA SCHMIDT

Provider Business Mailing Address
First Line	:	148 WOODLAND PLACE CT
Second Line	:
City	:	SAINT CHARLES
State	:	MO
Zip	:	63303-6585
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1111 S BERRY RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63122-6508
Country	:	US
Telephone Number	:	314-942-5750
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2021
Last Update Date	:	11/19/2021

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Directions to “ CLAUDIA SCHMIDT ” Practice Location

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