Provider Demographics
NPI:1467409227
Name:SCHNEPF, CHARLOTTE A (PT)
Entity Type:Individual
Prefix:MS
First Name:CHARLOTTE
Middle Name:A
Last Name:SCHNEPF
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:CHARLOTTE
Other - Middle Name:A
Other - Last Name:SCHNEPF
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:1692B HOSPITAL DR
Mailing Address - Street 2:STE 202
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-4754
Mailing Address - Country:US
Mailing Address - Phone:505-982-6399
Mailing Address - Fax:505-982-3219
Practice Address - Street 1:1692B HOSPITAL DR
Practice Address - Street 2:STE 202
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-4754
Practice Address - Country:US
Practice Address - Phone:505-982-6399
Practice Address - Fax:505-982-3219
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2015-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM24592251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMNMAAA2720Medicare PIN