MEDICARE: KATHRYN SCHNEIDER PT, DPT

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	225100000X	Physical Therapist	306324	CA

General Provider Information

NPI Number	:	1548087554
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYN SCHNEIDER PT, DPT

Provider Business Mailing Address
First Line	:	3375 MESA RIDGE RD APT 203
Second Line	:
City	:	CARLSBAD
State	:	CA
Zip	:	92010-6730
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4000 MISSION AVE
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92057-6402
Country	:	US
Telephone Number	:	442-222-7359
Fax Number	:

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

Provider Enumeration Date	:	09/21/2024
Last Update Date	:	09/21/2024

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