Active NPI
Cheryl Lynn Carlson, P.T.
- Physical Medicine & Rehabilitation Physician
- Vulcan, MI
National Provider Identifier
1013969203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 6284-024
- Practice address
- W3101 Ridgecrest Dr
Vulcan, MI 49892-8290 - Phone
- (906) 563-8204
- Fax
- (906) 563-8942
- NPI assigned
- May 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 6284-024 | WI | Primary |
Addresses
Primary practice location
W3101 Ridgecrest Dr
Vulcan, MI 49892-8290
Mailing address
W3101 Ridgecrest Dr
Vulcan, MI 49892-8290
Phone (906) 563-8204
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 650B210380 | Other | MI | BLUE CROSS |
| 650B210460 | Other | MI | BCBS |
Other names 1
- Miss Cheryl Lynn Simpson
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6284-024 | WI | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| In Home Rehab of Dickinson County | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Niagara, WI
- NPI 1811015548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493596800000",
"number": "1013969203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W3101 RIDGECREST DR",
"city": "VULCAN",
"state": "MI",
"postal_code": "498928290",
"telephone_number": "906-563-8204",
"fax_number": "906-563-8942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W3101 RIDGECREST DR",
"city": "VULCAN",
"state": "MI",
"postal_code": "498928290",
"telephone_number": "906-563-8204",
"fax_number": "906-563-8942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "CHERYL",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-16",
"last_updated": "2017-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "WI",
"license": "6284-024",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "650B210380",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "650B210460",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHERYL",
"last_name": "SIMPSON",
"middle_name": "LYNN",
"prefix": "MISS",
"credential": "P.T.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Vulcan, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.