Provider Demographics
NPI:1225823032
Name:EDUCISE PC
Entity type:Organization
Organization Name:EDUCISE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:SCHMIDT
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, OCS
Authorized Official - Phone:516-659-6106
Mailing Address - Street 1:104 RICHARDS RD
Mailing Address - Street 2:
Mailing Address - City:NEWBURY
Mailing Address - State:NH
Mailing Address - Zip Code:03255-5550
Mailing Address - Country:US
Mailing Address - Phone:516-659-6106
Mailing Address - Fax:
Practice Address - Street 1:104 RICHARDS RD
Practice Address - Street 2:
Practice Address - City:NEWBURY
Practice Address - State:NH
Practice Address - Zip Code:03255-5550
Practice Address - Country:US
Practice Address - Phone:631-827-8219
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-11
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty