=====================================================
General NPI Number Information
=====================================================
NPI Number | 1225823032
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | EDUCISE PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/11/2025
-----------------------------------------------------
Last Update Date | 12/22/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 104 RICHARDS RD
-----------------------------------------------------
City | NEWBURY
-----------------------------------------------------
State | NH
-----------------------------------------------------
Zip | 03255-5550
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 631-827-8219
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 104 RICHARDS RD
-----------------------------------------------------
City | NEWBURY
-----------------------------------------------------
State | NH
-----------------------------------------------------
Zip | 03255-5550
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 516-659-6106
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. THERESA ANNE SCHMIDT
-----------------------------------------------------
Credential | PT, DPT, OCS
-----------------------------------------------------
Telephone | 516-659-6106
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225700000X
-----------------------------------------------------
Taxonomy Name | Massage Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 2251X0800X
-----------------------------------------------------
Taxonomy Name | Orthopedic Physical Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------