Provider Demographics
NPI:1427118777
Name:FREDERICK PHYSICAL THERAPY INC.
Entity type:Organization
Organization Name:FREDERICK PHYSICAL THERAPY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:GERARD
Authorized Official - Last Name:SCHMITT
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:301-631-5300
Mailing Address - Street 1:198 THOMAS JOHNSON DR STE 4
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-4447
Mailing Address - Country:US
Mailing Address - Phone:301-631-5300
Mailing Address - Fax:301-631-5301
Practice Address - Street 1:198 THOMAS JOHNSON DR STE 4
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-4447
Practice Address - Country:US
Practice Address - Phone:301-631-5300
Practice Address - Fax:301-631-5301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-09
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD17700261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD=========OtherEIN