Provider Demographics
NPI:1306337985
Name:SCHMIDT, AIMEE PRESTRIDGE (MOT, OTR/L)
Entity type:Individual
Prefix:
First Name:AIMEE
Middle Name:PRESTRIDGE
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9877 VALLEY RANCH PKWY W APT 2114
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-7941
Mailing Address - Country:US
Mailing Address - Phone:337-852-1351
Mailing Address - Fax:
Practice Address - Street 1:6025 SPORTS VILLAGE RD
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-3505
Practice Address - Country:US
Practice Address - Phone:214-687-9374
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-19
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX119076225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist