Provider Demographics
NPI:1730132226
Name:THERESA A. SCHMIDT, MS,PT,PC
Entity Type:Organization
Organization Name:THERESA A. SCHMIDT, MS,PT,PC
Other - Org Name:FLEX PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT, PHYSICAL THERAPIST
Authorized Official - Prefix:PROF
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:A
Authorized Official - Last Name:SCHMIDT
Authorized Official - Suffix:
Authorized Official - Credentials:MS,PT,OCS,LMT
Authorized Official - Phone:516-798-4263
Mailing Address - Street 1:PO BOX 1480
Mailing Address - Street 2:
Mailing Address - City:MASSAPEQUA
Mailing Address - State:NY
Mailing Address - Zip Code:11758-0908
Mailing Address - Country:US
Mailing Address - Phone:516-798-4263
Mailing Address - Fax:516-797-3420
Practice Address - Street 1:507 HICKSVILLE RD
Practice Address - Street 2:
Practice Address - City:MASSAPEQUA
Practice Address - State:NY
Practice Address - Zip Code:11758-1266
Practice Address - Country:US
Practice Address - Phone:516-798-4263
Practice Address - Fax:516-797-3420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009087225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty