MEDICARE: SCHNEIDER THERAPY SERVICES LLC

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1205494705
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCHNEIDER THERAPY SERVICES LLC

Provider Business Mailing Address
First Line	:	2760 GASTON GATE
Second Line	:
City	:	MT PLEASANT
State	:	SC
Zip	:	29466-7925
Country	:	US
Telephone Number	:	414-899-1454
Fax Number	:

Provider Business Practice Location Address
First Line	:	2760 GASTON GATE
Second Line	:
City	:	MT PLEASANT
State	:	SC
Zip	:	29466-7925
Country	:	US
Telephone Number	:	414-899-1454
Fax Number	:

Authorized Official
Title or Position	:	OCCUPATIONAL THERAPIST
Name	:	ANNE SCHNEIDER
Credential	:	OTR
Telephone Number	:	414-899-1454

Provider Enumeration Date	:	05/31/2019
Last Update Date	:	05/31/2019

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