Individual provider Active NPI

Ramona Dawn Schmidt, OTR

  • Occupational Therapist
  • Green Bay, WI
National Provider Identifier
1013075142
Registry record updated May 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3553026 Issued in WI
Practice address
1040 Pilgrim Way
Woodside Lutheran Home
Green Bay, WI 54304-5028
Phone
(920) 405-3522
Fax
(920) 405-3522
NPI assigned
Dec 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 3553026 WI Primary

Addresses

Primary practice location

1040 Pilgrim Way
Woodside Lutheran Home
Green Bay, WI 54304-5028

Mailing address

1040 Pilgrim Way
Woodside Lutheran Home Atten: Mona Schmidt
Green Bay, WI 54304-5028
Phone (920) 405-3522

Other identifiers 1

IdentifierTypeStateIssuer
40700400MedicaidWI

Other names 1

  • Mrs. Ramona Dawn Palecek Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3553026WIMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274832000000",
    "number": "1013075142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 PILGRIM WAY",
            "address_2": "WOODSIDE LUTHERAN HOME ATTEN: MONA SCHMIDT",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045028",
            "telephone_number": "920-405-3522",
            "fax_number": "920-405-3522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 PILGRIM WAY",
            "address_2": "WOODSIDE LUTHERAN HOME",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045028",
            "telephone_number": "920-405-3522",
            "fax_number": "920-405-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "RAMONA",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2010-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "3553026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40700400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAMONA",
            "last_name": "PALECEK",
            "middle_name": "DAWN",
            "prefix": "MRS.",
            "credential": "COTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.