Provider Demographics
NPI:1114909249
Name:SCHNITZER, BEVERLY J (RPT, CLT, CERT MDT)
Entity Type:Individual
Prefix:MRS
First Name:BEVERLY
Middle Name:J
Last Name:SCHNITZER
Suffix:
Gender:F
Credentials:RPT, CLT, CERT MDT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:878 HILLCREST RD
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36695-3910
Mailing Address - Country:US
Mailing Address - Phone:251-344-4212
Mailing Address - Fax:251-344-4302
Practice Address - Street 1:878 HILLCREST RD
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36695-3910
Practice Address - Country:US
Practice Address - Phone:251-344-4212
Practice Address - Fax:251-344-4302
Is Sole Proprietor?:No
Enumeration Date:2005-11-15
Last Update Date:2019-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH1122174400000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL515-17279OtherBC/BS PROVIDER #DAUPHIN
AL510-74865OtherBC/BS PROV #BROOKLEY
02510Medicare UPIN