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NPI Code Detail

MEDICARE: PAUL NORMAN SCHMIDT MPT

MEDICARE: PAUL NORMAN SCHMIDT MPT
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
1225100000XPhysical Therapist070014234IL
2225100000XPhysical Therapist6198024WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710930961
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL NORMAN SCHMIDT MPT
Provider Business Mailing Address
First Line : 600 OAKMONT LN
Second Line : STE 600C
City : WESTMONT
State : IL
Zip : 60559-5548
Country : US
Telephone Number : 630-575-1980
Fax Number : 630-928-5080
Provider Business Practice Location Address
First Line : 25250 75TH ST
Second Line :
City : SALEM
State : WI
Zip : 53168-8705
Country : US
Telephone Number : 262-843-4200
Fax Number : 262-843-4578
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2006
Last Update Date : 05/22/2019

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