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General NPI Number Information
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NPI Number | 1730132226
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Entity Type | Organization
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Legal Business Name | THERESA A. SCHMIDT, MS,PT,PC
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 507 HICKSVILLE RD
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City | MASSAPEQUA
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State | NY
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Zip | 11758-1266
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Country | US
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Telephone | 516-798-4263
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Fax | 516-797-3420
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Provider Business Mailing Address
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Address Line | PO BOX 1480
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City | MASSAPEQUA
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State | NY
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Zip | 11758-0908
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Country | US
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Telephone | 516-798-4263
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Fax | 516-797-3420
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Authorized Official
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Title or Position | PRESIDENT, PHYSICAL THERAPIST
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Name | PROF. THERESA A SCHMIDT
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Credential | MS,PT,OCS,LMT
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Telephone | 516-798-4263
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 009087
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License Number State | NY
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