Active NPI
Sheresa L Lynch, PT
- Physical Therapist
- Chippewa Falls, WI
National Provider Identifier
1033215702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10493
- Practice address
- 4033 123Rd St
Chippewa Falls, WI 54729-6756 - Phone
- (715) 838-3045
- NPI assigned
- Sep 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 Therapist | 225100000X | 10493 | WI | Primary |
Addresses
Primary practice location
4033 123Rd St
Chippewa Falls, WI 54729-6756
Mailing address
PO Box 2060
Eau Claire, WI 54702-2060
Phone (715) 831-0100
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 |
|---|---|---|---|
| 10493 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | 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.
-
- Home Health Agency
- Eau Claire, WI
- NPI 1972521482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359072000000",
"number": "1033215702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2060",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547022060",
"telephone_number": "715-831-0100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4033 123RD ST",
"city": "CHIPPEWA FALLS",
"state": "WI",
"postal_code": "547296756",
"telephone_number": "715-838-3045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNCH",
"first_name": "SHERESA",
"middle_name": "L",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-16",
"last_updated": "2013-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "10493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chippewa Falls, WI
- Melissa M. Long, M.S., CCC/SLP
- LTC RX Inc (LTC Rx)
- Michael Gerald Lubahn, DPT, ATC
- Megen M Lube, RDH
- Lutheran Social Services of Wisconsin and Upper Michigan, Inc. (Lutheran Social Services of WI and Upper MI Outpatient Counseling)
- Jami Marie Lyons, DNP, APNP
- M & L Patients Express LLC (Patients' Express, LLC)
- Frank Duncan Macdonald Jr., M.D.
- Randall Machalk, RN
- Julia Kristine Machgan, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.