Provider Demographics
NPI:1114216314
Name:SCHNEIDER PHYSICAL THERAPY, LLC
Entity Type:Organization
Organization Name:SCHNEIDER PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHNEIDER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:864-303-6177
Mailing Address - Street 1:18 PHILLIPS MEADOW WAY
Mailing Address - Street 2:
Mailing Address - City:TRAVELERS REST
Mailing Address - State:SC
Mailing Address - Zip Code:29690-8706
Mailing Address - Country:US
Mailing Address - Phone:864-303-6177
Mailing Address - Fax:
Practice Address - Street 1:2753 LYNN RD
Practice Address - Street 2:SUITE E
Practice Address - City:TRYON
Practice Address - State:NC
Practice Address - Zip Code:28782-6855
Practice Address - Country:US
Practice Address - Phone:864-303-6177
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-29
Last Update Date:2011-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12551261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy