Healthcare Provider Details

I. General information

NPI: 1750945796
Provider Name (Legal Business Name): BENJAMIN THOMAS SCHMITT DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2019
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

916 SANCHEZ STREET
HURLBURT FIELD FL
32569
US

IV. Provider business mailing address

300 SOUTH TWINING STREET BLDG. 760, 42D MEDICAL GROUP
MAXWELL AFB AL
36112
US

V. Phone/Fax

Practice location:
  • Phone: 610-764-1202
  • Fax:
Mailing address:
  • Phone: 334-953-3368
  • Fax: 334-953-8607

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberP18854
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: