Active NPI
Douglas Seubert
- Recreation Therapist
- Marshfield, WI
National Provider Identifier
1437547494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- Practice address
- 1111 N Chestnut Ave
Marshfield, WI 54449-1402 - Phone
- (715) 383-0897
- NPI assigned
- Dec 29, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | Primary |
Addresses
Primary practice location
1111 N Chestnut Ave
Marshfield, WI 54449-1402
Mailing address
1111 N Chestnut Ave
Marshfield, WI 54449-1402
Phone (715) 383-0897
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582156800000",
"number": "1437547494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 N CHESTNUT AVE",
"city": "MARSHFIELD",
"state": "WI",
"postal_code": "544491402",
"telephone_number": "715-383-0897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 N CHESTNUT AVE",
"city": "MARSHFIELD",
"state": "WI",
"postal_code": "544491402",
"telephone_number": "715-383-0897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEUBERT",
"first_name": "DOUGLAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-12-29",
"last_updated": "2020-02-20",
"certification_date": "2020-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marshfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.