Active NPI
Elizabeth Schmidt, DPT
- Physical Therapist
- Milwaukee, WI
National Provider Identifier
1104255884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13660-24
- Practice address
- 9350 W Fond Du Lac Ave
Milwaukee, WI 53225-1714 - Phone
- (414) 797-0000
- NPI assigned
- Nov 4, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9404 | MN | |
| Physical Therapist | 225100000X | 13660-24 | WI | Primary |
Addresses
Primary practice location
9350 W Fond Du Lac Ave
Milwaukee, WI 53225-1714
Mailing address
627 S River Rd
Apt 10
West Bend, WI 53095-4357
Phone (920) 210-7578
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 |
|---|---|---|---|
| 13660-24 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492473600000",
"number": "1104255884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "627 S RIVER RD",
"address_2": "APT 10",
"city": "WEST BEND",
"state": "WI",
"postal_code": "530954357",
"telephone_number": "920-210-7578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9350 W FOND DU LAC AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532251714",
"telephone_number": "414-797-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMIDT",
"first_name": "ELIZABETH",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-04",
"last_updated": "2017-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "9404",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "13660-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.