Healthcare Provider Details

I. General information

NPI: 1891062667
Provider Name (Legal Business Name): BRYANNE SCHMITT MOT, OTR/L, CLT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/22/2011
Last Update Date: 03/17/2022
Certification Date: 03/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10791 S 72ND ST
PAPILLION NE
68046-3402
US

IV. Provider business mailing address

1000 POLE CREEK XING
SIDNEY NE
69162-2901
US

V. Phone/Fax

Practice location:
  • Phone: 402-212-0520
  • Fax:
Mailing address:
  • Phone: 308-254-5355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number1596
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: