Provider Demographics
NPI:1417348723
Name:SCHMEECKLE, CHAD (PT, DPT)
Entity Type:Individual
Prefix:
First Name:CHAD
Middle Name:
Last Name:SCHMEECKLE
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3800 GAYLORD PKWY STE 130
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-9418
Mailing Address - Country:US
Mailing Address - Phone:214-872-1699
Mailing Address - Fax:214-872-1920
Practice Address - Street 1:3800 GAYLORD PKWY STE 130
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034
Practice Address - Country:US
Practice Address - Phone:214-872-1699
Practice Address - Fax:214-872-1920
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-09
Last Update Date:2019-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1253847225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX192079501Medicaid
TX45-6752Medicare UPIN