Healthcare Provider Details

I. General information

NPI: 1053243568
Provider Name (Legal Business Name): ALYSON SCHMIDT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2026
Last Update Date: 05/30/2026
Certification Date: 05/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 BLENHIEM FARM LN
HAVRE DE GRACE MD
21078-2047
US

IV. Provider business mailing address

353 FELL RD
RISING SUN MD
21911-2079
US

V. Phone/Fax

Practice location:
  • Phone: 410-939-9300
  • Fax:
Mailing address:
  • Phone: 443-907-5506
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: