Provider Demographics
NPI:1285179325
Name:SCHMITZ, JOHN JR
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:SCHMITZ
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:JOHN
Other - Middle Name:
Other - Last Name:SCHMITZ
Other - Suffix:JR
Other - Last Name Type:Professional Name
Other - Credentials:LAT/ATC
Mailing Address - Street 1:8401 COLESVILLE RD
Mailing Address - Street 2:#50
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-3312
Mailing Address - Country:US
Mailing Address - Phone:301-588-7888
Mailing Address - Fax:301-588-3419
Practice Address - Street 1:8401 COLESVILLE RD
Practice Address - Street 2:#50
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-3312
Practice Address - Country:US
Practice Address - Phone:301-588-7888
Practice Address - Fax:301-588-3419
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-28
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA005812255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer