MEDICARE: SUSAN SCHULTZ 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	208100000X	Physical Medicine & Rehabilitation Physician	P15784	NC

General Provider Information

NPI Number	:	1710818968
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN SCHULTZ DPT

Provider Business Mailing Address
First Line	:	109 WOODRIDGE DR
Second Line	:
City	:	MOREHEAD CITY
State	:	NC
Zip	:	28557-4610
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	450 NC HIGHWAY 24 UNIT 4
Second Line	:
City	:	MOREHEAD CITY
State	:	NC
Zip	:	28557-2550
Country	:	US
Telephone Number	:	252-647-2778
Fax Number	:	252-647-2030

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

Provider Enumeration Date	:	05/27/2026
Last Update Date	:	05/27/2026

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Directions to “ SUSAN SCHULTZ DPT” Practice Location

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