Healthcare Provider Details

I. General information

NPI: 1386556009
Provider Name (Legal Business Name): DEVON ROSE SCHROEDER DPT, PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2092 MERRICK AVE
MERRICK NY
11566-3147
US

IV. Provider business mailing address

283 HAYPATH RD
OLD BETHPAGE NY
11804-1308
US

V. Phone/Fax

Practice location:
  • Phone: 516-223-4300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number056512
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: