MEDICARE: MARY SCHROEDER PT

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

General Provider Information

NPI Number	:	1427534957
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY SCHROEDER PT

Provider Business Mailing Address
First Line	:	4685 FOREST AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45212-3397
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6909 GOOD SAMARITAN DR STE A
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45247-5209
Country	:	US
Telephone Number	:	513-245-2500
Fax Number	:

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

Provider Enumeration Date	:	07/18/2018
Last Update Date	:	03/17/2022

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Directions to “ MARY SCHROEDER PT” Practice Location

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