Provider Demographics
NPI:1952496515
Name:SCHMITT, LYNN C (PT)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:C
Last Name:SCHMITT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1840 HUPPENTHAL DR
Mailing Address - Street 2:
Mailing Address - City:SCHERERVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46375-3005
Mailing Address - Country:US
Mailing Address - Phone:219-306-1774
Mailing Address - Fax:219-322-6025
Practice Address - Street 1:1840 HUPPENTHAL DR
Practice Address - Street 2:
Practice Address - City:SCHERERVILLE
Practice Address - State:IN
Practice Address - Zip Code:46375-3005
Practice Address - Country:US
Practice Address - Phone:219-306-1774
Practice Address - Fax:219-322-6025
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2016-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05002931A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
INP00261147OtherMEDICARE RR
IN200527430Medicaid
IN000000374290OtherBCBS
IN000000374290OtherBCBS