Active NPI
Blue Hills Rehab and Fitness Studio
- Physical Therapist
- Chetek, WI
National Provider Identifier
1023213931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2429-024
- Legal business name
- BLUE HILLS REHAB AND FITNESS STUDIO
- Practice address
- 1179 27TH St
Chetek, WI 54728-8036 - Phone
- (715) 859-6580
- Fax
- (715) 859-6588
- NPI assigned
- Jun 19, 2007
- Last updated
- Jun 17, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sharon Ann Schumacher, DPT
- Title
- Owner
- Phone
- (715) 859-6580
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2429-024 | WI | Primary |
Addresses
Primary practice location
1179 27TH St
Chetek, WI 54728-8036
Mailing address
1179 27TH St
Chetek, WI 54728-8036
Phone (715) 859-6580
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40085000 | Medicaid | WI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Chetek, WI
- NPI 1871534156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1371427200000",
"number": "1023213931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1179 27TH ST",
"city": "CHETEK",
"state": "WI",
"postal_code": "547288036",
"telephone_number": "715-859-6580",
"fax_number": "715-859-6588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1179 27TH ST",
"city": "CHETEK",
"state": "WI",
"postal_code": "547288036",
"telephone_number": "715-859-6580",
"fax_number": "715-859-6588"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUE HILLS REHAB AND FITNESS STUDIO",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-19",
"last_updated": "2013-06-17",
"status": "A",
"authorized_official_last_name": "SCHUMACHER",
"authorized_official_first_name": "SHARON",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "715-859-6580",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "2429-024",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40085000",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chetek, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.