Healthcare Provider Details

I. General information

NPI: 1548720188
Provider Name (Legal Business Name): OLIVIA SCHMITT DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: OLIVIA LEVI

II. Dates (important events)

Enumeration Date: 03/20/2019
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

524 OLD SMIZER MILL RD
FENTON MO
63026-3538
US

IV. Provider business mailing address

504 WAKE CT
CHATHAM IL
62629-5046
US

V. Phone/Fax

Practice location:
  • Phone: 636-600-1300
  • Fax: 636-600-1301
Mailing address:
  • Phone: 217-891-2709
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2020010958
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: