Healthcare Provider Details

I. General information

NPI: 1124903398
Provider Name (Legal Business Name): ENRICO STAHLSCHMIDT DPT, PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2025
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8358 MUNSON RD STE 105
MENTOR OH
44060-2452
US

IV. Provider business mailing address

7305 FATHER FRASCATI DR
CLEVELAND OH
44102-2077
US

V. Phone/Fax

Practice location:
  • Phone: 440-255-2009
  • Fax: 440-255-9050
Mailing address:
  • Phone: 901-267-6312
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT021966
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: