Healthcare Provider Details

I. General information

NPI: 1073425203
Provider Name (Legal Business Name): RYAN R SCHMIDT DPT, PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 S MAIN ST
ASHLAND MO
65010-9550
US

IV. Provider business mailing address

1700 KATHY DR
COLUMBIA MO
65202-3131
US

V. Phone/Fax

Practice location:
  • Phone: 573-808-1179
  • Fax:
Mailing address:
  • Phone: 573-808-1179
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2021020660
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: