Individual provider Active NPI

Kyra Victoria Schauer, PT

  • Physical Therapist
  • Mukwonago, WI
National Provider Identifier
1245448406
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9486-24 Issued in WI
Practice address
W1149 County Road J
Mukwonago, WI 53149-1967
Phone
(262) 363-2214
NPI assigned
May 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 9486-24 WI Primary

Addresses

Primary practice location

W1149 County Road J
Mukwonago, WI 53149-1967

Mailing address

W1149 County Road J
Mukwonago, WI 53149-1967
Phone (262) 363-2214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240612004227 WI Practitioner - Physical Therapist in Private Practice 3870035215 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9486-24WIMDPhysical Therapist
9486WIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sundance Rehabilitation LLC Physical Therapist CurrentSince Mar 27, 2024 Accepting new patients

Locations

6109 Braun Rd
Mount Pleasant, WI 53403
Phone (262) 484-4724

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.

NPI Registry JSON

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

{
    "created_epoch": "1179619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347580800000",
    "number": "1245448406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W1149 COUNTY ROAD J",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531491967",
            "telephone_number": "262-363-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W1149 COUNTY ROAD J",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531491967",
            "telephone_number": "262-363-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAUER",
        "first_name": "KYRA",
        "middle_name": "VICTORIA",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-20",
        "last_updated": "2012-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "9486-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mukwonago, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.