Healthcare Provider Details

I. General information

NPI: 1982660551
Provider Name (Legal Business Name): FREDRIK D SCHMITZ MPT OCS SCS
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/24/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NAVAL HOSPITAL ATTN PROFESSIONAL AFFAIRS MAGTFTC MCAGCC BOX 788250
TWENTYNINE PALMS CA
92278-8250
US

IV. Provider business mailing address

73929 PLAYA VISTA DR
TWENTYNINE PALMS CA
92277-1841
US

V. Phone/Fax

Practice location:
  • Phone: 760-830-2194
  • Fax:
Mailing address:
  • Phone: 760-830-2520
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT 19650
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License NumberPT 19650
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberPT 19650
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: