Provider Demographics
NPI:1699782177
Name:SCHUMACHER, EDMAN PAYSON (PT)
Entity type:Individual
Prefix:
First Name:EDMAN
Middle Name:PAYSON
Last Name:SCHUMACHER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 GROVE ST
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28144-3233
Mailing Address - Country:US
Mailing Address - Phone:704-637-2294
Mailing Address - Fax:704-636-0660
Practice Address - Street 1:605 GROVE ST
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-3233
Practice Address - Country:US
Practice Address - Phone:704-637-2294
Practice Address - Fax:704-636-0660
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2013-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7555225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7604261OtherAETNA
NCP00126821OtherMEDICARE RAILROAD
NCC3089OtherMEDCOST
NC2500942Medicare ID - Type Unspecified