Individual provider Active NPI

Josephine Quebada Schulke, PT

  • Physical Therapist
  • Wichita Falls, TX
National Provider Identifier
1538148564
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1319644 Issued in TX
Practice address
1709 10TH St
Wichita Falls, TX 76301
Phone
(940) 696-6200
NPI assigned
Jan 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 25040 CA
Physical Therapist 225100000X 1319644 TX Primary

Addresses

Primary practice location

1709 10TH St
Wichita Falls, TX 76301

Mailing address

1709 10TH St, P.O. Box 8266
Wichita Falls, TX 76307
Phone (940) 696-6200

Other practice location 1

15922 Willow St
California Children Services
Hesperia, CA 92345-2848
Phone (760) 244-7999 ext. 248

Other names 1

  • Ms. Josephine Quebada Halog Former name

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

LicenseStateTypeSpecialty
PT 25040CAMDPhysical Therapist
1319644TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Helen Farabee Centers PastSince Sep 8, 2019 Accepting new patients
San Bernardino County Public Health Dept. 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1538148564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 10TH ST, P.O. BOX 8266",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "76307",
            "telephone_number": "940-696-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 10TH ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "76301",
            "telephone_number": "940-696-6200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15922 Willow St",
            "address_2": "California Children Services",
            "address_purpose": "LOCATION",
            "city": "Hesperia",
            "state": "CA",
            "postal_code": "923452848",
            "country_code": "US",
            "telephone_number": "760-244-7999 x248",
            "fax_number": "760-244-4975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHULKE",
        "first_name": "JOSEPHINE",
        "middle_name": "QUEBADA",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-10",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 25040",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1319644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSEPHINE",
            "last_name": "HALOG",
            "middle_name": "QUEBADA",
            "prefix": "MS.",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; 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.