MEDICARE: FOREMOST PHYSICAL THERAPY 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	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1518700699
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOREMOST PHYSICAL THERAPY LLC

Provider Business Mailing Address
First Line	:	225 HOLLY CT
Second Line	:
City	:	PRAIRIE DU SAC
State	:	WI
Zip	:	53578-1328
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	225 HOLLY CT
Second Line	:
City	:	PRAIRIE DU SAC
State	:	WI
Zip	:	53578-1328
Country	:	US
Telephone Number	:	920-382-3627
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST, ATHLETIC TRAINE
Name	:	RYAN JACOB SCHMITT
Credential	:	DPT, ATC
Telephone Number	:	920-382-3627

Provider Enumeration Date	:	06/17/2024
Last Update Date	:	06/17/2024

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