Provider Demographics
NPI:1174236806
Name:BODY MECHANIC PHYSICAL THERAPY
Entity type:Organization
Organization Name:BODY MECHANIC PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR OF PHYSICAL THERAPY
Authorized Official - Prefix:DR
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:SCHICHTEL
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, MSED, CCI
Authorized Official - Phone:740-261-5152
Mailing Address - Street 1:PO BOX 234
Mailing Address - Street 2:
Mailing Address - City:NEW CONCORD
Mailing Address - State:OH
Mailing Address - Zip Code:43762-0234
Mailing Address - Country:US
Mailing Address - Phone:740-261-5152
Mailing Address - Fax:
Practice Address - Street 1:22 WEST MAIN STREET
Practice Address - Street 2:
Practice Address - City:NEW CONCORD
Practice Address - State:OH
Practice Address - Zip Code:43762-1219
Practice Address - Country:US
Practice Address - Phone:740-261-5152
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-27
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty