Shelley Jo Wisnowski, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1181250 Issued in TX

Practice address

91 Champion Cliff
San Antonio, TX 78258-4874

Phone

(210) 842-9720

Fax

(210) 497-6848

NPI assigned

Aug 28, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Shelley Jo Schmidt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1251417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251417600000",
    "number": "1013140755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 CHAMPION CLIFF",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584874",
            "telephone_number": "210-842-9720",
            "fax_number": "210-497-6848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 CHAMPION CLIFF",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584874",
            "telephone_number": "210-842-9720",
            "fax_number": "210-497-6848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISNOWSKI",
        "first_name": "SHELLEY",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-28",
        "last_updated": "2009-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1181250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLEY",
            "last_name": "SCHMIDT",
            "middle_name": "JO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Andrea Michelle Wissa, DO
• Michael F. Wissa, M.D.
• Jeffrey Golay Wissel-Littmann, PT
• James Connor Wistrom, MD
• Katharine Johanna Wiswall, PA-C

• Physical Therapist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2009; 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.