Provider Demographics
NPI:1114909249
Name:SCHNITZER, BEVERLY J (PT)
Entity type:Individual
Prefix:MRS
First Name:BEVERLY
Middle Name:J
Last Name:SCHNITZER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:BEVERLY
Other - Middle Name:
Other - Last Name:WILKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4850A DAWES LN E
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36619-9029
Mailing Address - Country:US
Mailing Address - Phone:251-243-2676
Mailing Address - Fax:251-244-3262
Practice Address - Street 1:4850A DAWES LN E
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36619-9029
Practice Address - Country:US
Practice Address - Phone:251-243-2676
Practice Address - Fax:251-244-3262
Is Sole Proprietor?:No
Enumeration Date:2005-11-15
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH1122225100000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL515-17279OtherBC/BS PROVIDER #DAUPHIN
AL510-74865OtherBC/BS PROV #BROOKLEY
02510Medicare UPIN