Provider Demographics
NPI:1831223759
Name:SCHNEIDER, ANNA BRIT (PT)
Entity type:Individual
Prefix:MS
First Name:ANNA
Middle Name:BRIT
Last Name:SCHNEIDER
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 1:1424 JEFFERSON ST NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-5049
Mailing Address - Country:US
Mailing Address - Phone:505-268-9564
Mailing Address - Fax:505-268-9564
Practice Address - Street 1:6316 CONSTITUTION AVE NE
Practice Address - Street 2:MARK TWAIN ELEMENTARY SCHOOL
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-5049
Practice Address - Country:US
Practice Address - Phone:505-255-8337
Practice Address - Fax:505-268-3220
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM280225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMR9008Medicaid