Active NPI
Heather Beverly Sheski
- Physical Therapist
- Shawano, WI
National Provider Identifier
1295095172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11950-024
- Practice address
- 116 N Main St
Shawano, WI 54166-2356 - Phone
- (715) 526-7370
- Fax
- (715) 526-7294
- NPI assigned
- May 24, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11950-024 | WI | Primary |
Addresses
Primary practice location
116 N Main St
Shawano, WI 54166-2356
Mailing address
116 N Main St
Shawano, WI 54166-2356
Phone (715) 526-7370
Other names 1
- Heather Beverly Fournier
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11950-024 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337817600000",
"number": "1295095172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 N MAIN ST",
"city": "SHAWANO",
"state": "WI",
"postal_code": "541662356",
"telephone_number": "715-526-7370",
"fax_number": "715-526-7294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 N MAIN ST",
"city": "SHAWANO",
"state": "WI",
"postal_code": "541662356",
"telephone_number": "715-526-7370",
"fax_number": "715-526-7294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHESKI",
"first_name": "HEATHER",
"middle_name": "BEVERLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-24",
"last_updated": "2012-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "11950-024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HEATHER",
"last_name": "FOURNIER",
"middle_name": "BEVERLY",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Shawano, WI
- Shawano Family Dentistry
- Shawano Health Services LLC
- Shawano Place
- Shawano-Gresham School District
- Kevin Daniel Sheier, MS, LPC
- Shopko Stores Operating Co., LLC (Shopko Pharmacy 2215)
- Shoptikal LLC (Shopko Optical 4304)
- Cassandra Loretta Silveyra, NP
- Kristina Therese Sipple, D.C.
- Jennifer May Skibba, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.