Provider Demographics
NPI:1467045203
Name:SCHMIDT, ANDREW (DPT, PT)
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:
Last Name:SCHMIDT
Suffix:
Gender:M
Credentials:DPT, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3780 SW 26TH TER REAR
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33134-7235
Mailing Address - Country:US
Mailing Address - Phone:786-498-2208
Mailing Address - Fax:
Practice Address - Street 1:3062 ORANGE ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-4579
Practice Address - Country:US
Practice Address - Phone:734-780-4931
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-12
Last Update Date:2021-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL36748225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist