Provider Demographics
NPI:1346387040
Name:SCHMITT, CAROLYN (BS, OT)
Entity Type:Individual
Prefix:
First Name:CAROLYN
Middle Name:
Last Name:SCHMITT
Suffix:
Gender:F
Credentials:BS, OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5420 S COTTONWOOD CT
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80121-1432
Mailing Address - Country:US
Mailing Address - Phone:843-696-1372
Mailing Address - Fax:303-761-1881
Practice Address - Street 1:5420 S QUEBEC ST
Practice Address - Street 2:SUITE 103
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-1904
Practice Address - Country:US
Practice Address - Phone:303-221-7827
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2015-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3217225XP0200X
COOT0003665225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics