Provider Demographics
NPI:1154811974
Name:SCHMANSKY, GINA (COTA/L)
Entity type:Individual
Prefix:MISS
First Name:GINA
Middle Name:
Last Name:SCHMANSKY
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 RED MILLS RD
Mailing Address - Street 2:
Mailing Address - City:MAHOPAC
Mailing Address - State:NY
Mailing Address - Zip Code:10541-2752
Mailing Address - Country:US
Mailing Address - Phone:845-234-3984
Mailing Address - Fax:
Practice Address - Street 1:108 RED MILLS RD
Practice Address - Street 2:
Practice Address - City:MAHOPAC
Practice Address - State:NY
Practice Address - Zip Code:10541-2752
Practice Address - Country:US
Practice Address - Phone:845-234-3984
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-16
Last Update Date:2018-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009720-1224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant