1861731333 NPI number — MRS. LYNN SHARON SCHMIDT M.S., P.T. PHYSICAL

Table of content: MRS. LYNN SHARON SCHMIDT M.S., P.T. PHYSICAL (NPI 1861731333)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861731333 NPI number — MRS. LYNN SHARON SCHMIDT M.S., P.T. PHYSICAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SCHMIDT
Provider First Name:
LYNN
Provider Middle Name:
SHARON
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
M.S., P.T. PHYSICAL
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
GOLDHAMMER
Provider Other First Name:
LYNN
Provider Other Middle Name:
SHARON
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
P.T. PHYSICAL THERAP
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1861731333
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/06/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9401 SHARON DRIVE MUKILTEO SCHOOL DISTRICT
Provider Second Line Business Mailing Address:
ADMIN. CENTER, SPECIAL EDUCATION
Provider Business Mailing Address City Name:
EVERETT
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98204
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
425-356-1277
Provider Business Mailing Address Fax Number:
425-356-1279

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10520 HARBOUR POINTE BLVD
Provider Second Line Business Practice Location Address:
COLUMBIA ELEMENTARY SCHOOL - MSD #6
Provider Business Practice Location Address City Name:
MUKILTEO
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98275
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-366-2635
Provider Business Practice Location Address Fax Number:
425-366-2602
Provider Enumeration Date:
02/04/2013

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  PT00000887 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com