Healthcare Provider Details

I. General information

NPI: 1942135520
Provider Name (Legal Business Name): BENJAMEN STEVEN SCHOMMER DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1614 GOLF COURSE RD
GRAND RAPIDS MN
55744-8681
US

IV. Provider business mailing address

1939 MINNEHAHA AVE W STE 300
SAINT PAUL MN
55104-1033
US

V. Phone/Fax

Practice location:
  • Phone: 218-313-1387
  • Fax: 218-999-0612
Mailing address:
  • Phone: 651-748-4338
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number14405
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: