Basic Information
| Provider Information | |||||||||
| NPI: | 1144744061 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SCHMITT | ||||||||
| FirstName: | CAITLIN | ||||||||
| MiddleName: | JEAN | ||||||||
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| Credential: | DPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1520 SUNDAY DR STE 105 | ||||||||
| Address2: | |||||||||
| City: | RALEIGH | ||||||||
| State: | NC | ||||||||
| PostalCode: | 276075254 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9194201682 | ||||||||
| FaxNumber: | 9197193531 | ||||||||
| Practice Location | |||||||||
| Address1: | 1520 SUNDAY DR STE 105 | ||||||||
| Address2: | |||||||||
| City: | RALEIGH | ||||||||
| State: | NC | ||||||||
| PostalCode: | 276075254 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9194201682 | ||||||||
| FaxNumber: | 9197193531 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/02/2017 | ||||||||
| LastUpdateDate: | 08/02/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | P17208 | NC | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.