Provider Demographics
NPI:1467819466
Name:SCHMELKIN, SARA (DPT)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:
Last Name:SCHMELKIN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MS
Other - First Name:SARA
Other - Middle Name:
Other - Last Name:LINDEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4 RICHMOND SQ STE 200
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02906-5117
Mailing Address - Country:US
Mailing Address - Phone:401-726-7100
Mailing Address - Fax:508-316-1572
Practice Address - Street 1:25 TAUNTON ST UNIT 6
Practice Address - Street 2:
Practice Address - City:PLAINVILLE
Practice Address - State:MA
Practice Address - Zip Code:02762-2188
Practice Address - Country:US
Practice Address - Phone:017-264-7100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-21
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPTL22083225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist