MEDICARE: DR. AMANDA SCHMIDT MS, PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	1176718	TX

General Provider Information

NPI Number	:	1063355139
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMANDA SCHMIDT MS, PT, DPT

Provider Business Mailing Address
First Line	:	19 SPRING OAKS RD
Second Line	:
City	:	BURLESON
State	:	TX
Zip	:	76028-3617
Country	:	US
Telephone Number	:	817-360-2663
Fax Number	:

Provider Business Practice Location Address
First Line	:	1600 W COLLEGE ST STE 540
Second Line	:
City	:	GRAPEVINE
State	:	TX
Zip	:	76051-3589
Country	:	US
Telephone Number	:	682-439-0091
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2026
Last Update Date	:	04/13/2026

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