Provider Demographics
NPI:1134231103
Name:SCHMIEG, SUSAN MELTON (PT)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:MELTON
Last Name:SCHMIEG
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 1:3000 HERITAGE FARM CT
Mailing Address - Street 2:
Mailing Address - City:OAK HILL
Mailing Address - State:VA
Mailing Address - Zip Code:20171-2232
Mailing Address - Country:US
Mailing Address - Phone:703-476-1982
Mailing Address - Fax:
Practice Address - Street 1:3000 HERITAGE FARM CT
Practice Address - Street 2:
Practice Address - City:OAK HILL
Practice Address - State:VA
Practice Address - Zip Code:20171-2232
Practice Address - Country:US
Practice Address - Phone:703-476-1982
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA23050013342251N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology