Samantha H Gutche, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11813-024 Issued in WI

Practice address

3332 Mockingbird Way
Oshkosh, WI 54904-7339

Phone

(920) 379-6195

NPI assigned

Nov 23, 2011

Last updated

Jul 30, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: shindmangutche28295@direct.thedacare.org

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.

• Sundance Rehabilitation LLC

  • Rehabilitation Clinic/Center
  • Deforest, WI
  • NPI 1073912119
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406678400000",
    "number": "1396012035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3332 MOCKINGBIRD WAY",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549047339",
            "telephone_number": "920-379-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3332 MOCKINGBIRD WAY",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549047339",
            "telephone_number": "920-379-6195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTCHE",
        "first_name": "SAMANTHA",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-23",
        "last_updated": "2014-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "11813-024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsey Johanna Guay
• Erin D Guenther, DO
• Pedro Guevara, MD
• Catherine F Guggino, CNM
• Guided Discovery LLC
• Kathy D Guzman-Gombos, RN
• Diane J Haberman, PA-C
• Steven J Hable, LPC
• Patricia Hablewitz
• Sharon R Haertl, RN

• Physical Therapist in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.