Healthcare Provider Details

I. General information

NPI: 1568394112
Provider Name (Legal Business Name): ANDREW E SCHNEIDER MOTR
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3311 CANDELARIA RD NE STE E
ALBUQUERQUE NM
87107-1952
US

IV. Provider business mailing address

5604 ESTRELLITA DEL NORTE RD NE
ALBUQUERQUE NM
87111-1654
US

V. Phone/Fax

Practice location:
  • Phone: 505-200-9962
  • Fax: 505-633-7926
Mailing address:
  • Phone: 505-200-9962
  • Fax: 505-633-7926

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number2086
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: