Paula Jo Rush Shumpert, DT

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

2661 N Illinois St Ste 126
Swansea, IL 62226-2302

Phone

(618) 550-8898

NPI assigned

May 6, 2007

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Sacrae LLC

  • Developmental Therapist
  • Swansea, IL
  • NPI 1962614362
  NPD (past) Authorized official

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

{
    "created_epoch": "1178409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598977993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1442 SCHWARZ MEADOW DR",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622696709",
            "telephone_number": "618-550-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2661 N ILLINOIS ST STE 126",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262302",
            "telephone_number": "618-550-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSH SHUMPERT",
        "first_name": "PAULA",
        "middle_name": "JO",
        "credential": "DT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rooted Heritage LLC
• Dawn Marie Roulanaitis, MS CCC-A
• Kayla R Roulette, MA, LCPC
• Daniel M. Rovin, D.C.
• Gary L Rovin, D.C.
• Gillian Joell Russell
• Katelin Lee Ann Russell, DC
• Nadiah Sabrah, MSW, LCSW, THERAPIST
• Sacrae LLC
• John Douglas Sadoff, M.D.

• Developmental Therapist in Swansea, IL
• Providers in Swansea, IL by specialty
• Developmental Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.