Healthcare Provider Details

I. General information

NPI: 1477935278
Provider Name (Legal Business Name): KERRY SCHMIDT M.S. OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2015
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 893
SANTA MARGARITA CA
93453-0893
US

IV. Provider business mailing address

PO BOX 893
SANTA MARGARITA CA
93453-0893
US

V. Phone/Fax

Practice location:
  • Phone: 925-917-4482
  • Fax:
Mailing address:
  • Phone: 925-917-4482
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number15370
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: