Active NPI
Lori A Schumann, PT
- Physical Therapist
- Portage, WI
National Provider Identifier
1255508255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3177-024
- Practice address
- 2817 New Pinery Road
Divine Savior Healthcare
Portage, WI 53901-0387 - Phone
- (608) 745-5063
- Fax
- (608) 745-6250
- NPI assigned
- May 9, 2008
- 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 | 3177-024 | WI | Primary |
Addresses
Primary practice location
2817 New Pinery Road
Divine Savior Healthcare
Portage, WI 53901-0387
Mailing address
PO Box 387
2817 New Pinery Road
Portage, WI 53901-0387
Phone (608) 745-5063
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40111800 | Medicaid | WI |
Other names 1
- Ms. Lori A Nashold
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 |
|---|---|---|---|
| 3177-024 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210291200000",
"number": "1255508255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 387",
"address_2": "2817 NEW PINERY ROAD",
"city": "PORTAGE",
"state": "WI",
"postal_code": "539010387",
"telephone_number": "608-745-5063",
"fax_number": "608-745-6250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2817 NEW PINERY ROAD",
"address_2": "DIVINE SAVIOR HEALTHCARE",
"city": "PORTAGE",
"state": "WI",
"postal_code": "539010387",
"telephone_number": "608-745-5063",
"fax_number": "608-745-6250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHUMANN",
"first_name": "LORI",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-09",
"last_updated": "2008-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "3177-024",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40111800",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LORI",
"last_name": "NASHOLD",
"middle_name": "A",
"prefix": "MS.",
"credential": "PT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Portage, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.