Provider Demographics
NPI:1124903398
Name:STAHLSCHMIDT, ENRICO (DPT, PT)
Entity type:Individual
Prefix:MR
First Name:ENRICO
Middle Name:
Last Name:STAHLSCHMIDT
Suffix:
Gender:M
Credentials:DPT, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7305 FATHER FRASCATI DR
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44102-2077
Mailing Address - Country:US
Mailing Address - Phone:901-267-6312
Mailing Address - Fax:
Practice Address - Street 1:8358 MUNSON RD STE 105
Practice Address - Street 2:
Practice Address - City:MENTOR
Practice Address - State:OH
Practice Address - Zip Code:44060-2452
Practice Address - Country:US
Practice Address - Phone:440-255-2009
Practice Address - Fax:440-255-9050
Is Sole Proprietor?:No
Enumeration Date:2025-08-07
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT021966225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist