Lynn De la Torre, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

952 Issued in WI

Practice address

7300 Washington Ave Ste B
Racine, WI 53406-3821

Phone

(262) 321-6000

NPI assigned

Jan 7, 2008

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

Other identifiers 1

Other names 1

• Lynn Shelmidine Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1487839759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 WASHINGTON AVE STE B",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534063821",
            "telephone_number": "262-321-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 WASHINGTON AVE STE B",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534063821",
            "telephone_number": "262-321-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA TORRE",
        "first_name": "LYNN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36136300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNN",
            "last_name": "SHELMIDINE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tracy Daniels, CSAC, LPC, ICS
• Daniel Dashner, LCSW, CSAC
• Donna R Daufenbach, MD
• Glenn S Davis, M.D.
• Jakia Mashay Davis, LPC-IT
• Stephen Arthur Declark, LCSW
• Rieanna Dee, MS, OTR
• Tom A Defrancesco, LCSW, CADC
• David Louis Defurio, D.D.S.
• Richard L. Defurio, D.D.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.