Provider Demographics
NPI:1619701398
Name:SCHMIDLIN, FREDERICK (PT, DPT)
Entity type:Individual
Prefix:
First Name:FREDERICK
Middle Name:
Last Name:SCHMIDLIN
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:439 STATION AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH YARMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02664-1849
Mailing Address - Country:US
Mailing Address - Phone:508-619-7902
Mailing Address - Fax:
Practice Address - Street 1:439 STATION AVE
Practice Address - Street 2:
Practice Address - City:SOUTH YARMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02664-1849
Practice Address - Country:US
Practice Address - Phone:508-619-7902
Practice Address - Fax:508-452-6810
Is Sole Proprietor?:No
Enumeration Date:2024-08-27
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist