Active NPI
Jennifer Ann Dummer, DPT, LMT
- Physical Therapist
- South Milwaukee, WI
National Provider Identifier
1326200643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10114-024
- Practice address
- 3601 S Chicago Ave
South Milwaukee, WI 53172-3708 - Phone
- (414) 570-5477
- NPI assigned
- Jun 27, 2008
- 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 | 10114-024 | WI | Primary |
Addresses
Primary practice location
3601 S Chicago Ave
South Milwaukee, WI 53172-3708
Mailing address
3601 S Chicago Ave
South Milwaukee, WI 53172-3708
Phone (414) 570-5477
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40471400 | Medicaid | WI |
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 |
|---|---|---|---|
| 10114-024 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611100800000",
"number": "1326200643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 S CHICAGO AVE",
"city": "SOUTH MILWAUKEE",
"state": "WI",
"postal_code": "531723708",
"telephone_number": "414-570-5477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 S CHICAGO AVE",
"city": "SOUTH MILWAUKEE",
"state": "WI",
"postal_code": "531723708",
"telephone_number": "414-570-5477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUMMER",
"first_name": "JENNIFER",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "DPT, LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-27",
"last_updated": "2021-01-20",
"certification_date": "2021-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "10114-024",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40471400",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in South Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.