Active NPI
Stephanie Ann Schumacher
- Physical Therapy Assistant
- Mount Calvary, WI
National Provider Identifier
1386279891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2562-19
- Practice address
- N7203 Triple T Rd
Mount Calvary, WI 53057-9619 - Phone
- (920) 810-1182
- NPI assigned
- Mar 4, 2020
- Last updated
- Mar 4, 2020
- 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 Therapy Assistant | 225200000X | 2562-19 | WI | Primary |
Addresses
Primary practice location
N7203 Triple T Rd
Mount Calvary, WI 53057-9619
Mailing address
19395 W Capitol Dr Ste 200
Brookfield, WI 53045-2736
Phone (262) 923-7101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2562-19 | Other | WI | LICENSE |
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 |
|---|---|---|---|
| 2562-19 | WI | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenfield Rehabilitation Agency, Inc. | Past | Accepting new patients | |
| Greenfield Rehabilitation Agency, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rehab Resources
- Physical Therapist
- Brookfield, WI
- NPI 1790230571
-
- Physical Therapist
- Brookfield, WI
- NPI 1811907462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583280000000",
"number": "1386279891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19395 W CAPITOL DR STE 200",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530452736",
"telephone_number": "262-923-7101",
"fax_number": "262-923-7178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N7203 TRIPLE T RD",
"city": "MOUNT CALVARY",
"state": "WI",
"postal_code": "530579619",
"telephone_number": "920-810-1182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHUMACHER",
"first_name": "STEPHANIE",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-04",
"last_updated": "2020-03-04",
"certification_date": "2020-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "WI",
"license": "2562-19",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "2562-19",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Calvary, WI
- Agnesian Healthcare (Fond Du Lac Regional Clinic)
- Consultants Laboratory of Wisconsin, LLC
- Adam Joseph Jodocy
- Mount Calvary Ambulance Service Inc
- Mt Calvary Dental LLC
- Sister Servants of Christ the King Inc (Villa Loretto)
- Angela Lynn Steffes, R.N.
- Jeffrey A Strong, MD
- Maria Therese Weeks, MS, MA, LPC-IT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.