Active NPI
Sue Peplinski, P.T.
- Physical Therapist
- Lake Geneva, WI
National Provider Identifier
1326245036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4375-24
- Practice address
- 211 S Curtis St
Lake Geneva, WI 53147-2052 - Phone
- (262) 248-2680
- Fax
- (262) 248-2746
- NPI assigned
- Jun 27, 2007
- 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 | 4375-24 | WI | Primary |
Addresses
Primary practice location
211 S Curtis St
Lake Geneva, WI 53147-2052
Mailing address
W1226 S Shore Dr
Palmyra, WI 53156-9797
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40245000 | 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 |
|---|---|---|---|
| 4375-24 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347408000000",
"number": "1326245036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W1226 S SHORE DR",
"city": "PALMYRA",
"state": "WI",
"postal_code": "531569797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 S CURTIS ST",
"city": "LAKE GENEVA",
"state": "WI",
"postal_code": "531472052",
"telephone_number": "262-248-2680",
"fax_number": "262-248-2746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEPLINSKI",
"first_name": "SUE",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-27",
"last_updated": "2012-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "4375-24",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40245000",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Geneva, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.