Provider Demographics
NPI:1417040502
Name:SCHMANK, MADGE K (PT)
Entity Type:Individual
Prefix:
First Name:MADGE
Middle Name:K
Last Name:SCHMANK
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:MADGE
Other - Middle Name:K
Other - Last Name:MITCHELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:5801 SW TURNBERRY CT
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-4169
Mailing Address - Country:US
Mailing Address - Phone:785-295-4587
Mailing Address - Fax:
Practice Address - Street 1:200 SW FRAZIER CIR
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66606-2800
Practice Address - Country:US
Practice Address - Phone:785-232-2044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2010-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1100964225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS141015Medicare PIN