Individual provider Active NPI

Eileen Schmidlin, PT

  • Physical Therapist
  • Corning, NY
National Provider Identifier
1942275474
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
010401-1 Issued in NY
Practice address
123 Conhocton St
Suite 102
Corning, NY 14830-2911
Phone
(607) 936-6657
Fax
(607) 936-6747
NPI assigned
Feb 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 010401-1 NY Primary

Addresses

Primary practice location

123 Conhocton St
Suite 102
Corning, NY 14830-2911

Mailing address

123 Conhocton St
Suite 102
Corning, NY 14830-2911
Phone (607) 936-6657

Other identifiers 1

IdentifierTypeStateIssuer
01715755MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120109000254 NY Practitioner - Physical Therapist in Private Practice 5395631949 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10401NYMDPsychologist
010401-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Choice Physical Therapy, PLLC Physical Therapist CurrentSince Sep 1, 2024 Accepting new patients
Crystal City Physical Therapy, RLLP Physical Therapist PastSince Jul 6, 1998 Accepting new patients

Locations

123 W Market St
Ste 101
Corning, NY 14830
Phone (607) 973-2107

123 W Market St
Corning, NY 14830
Phone (607) 973-2107

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202947200000",
    "number": "1942275474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 CONHOCTON ST",
            "address_2": "SUITE 102",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302911",
            "telephone_number": "607-936-6657",
            "fax_number": "607-936-6747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 CONHOCTON ST",
            "address_2": "SUITE 102",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302911",
            "telephone_number": "607-936-6657",
            "fax_number": "607-936-6747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDLIN",
        "first_name": "EILEEN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-20",
        "last_updated": "2008-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "010401-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01715755",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corning, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.