Active NPI
Amy Dolores Furhmann, PHYSICAL THERAPIST
- Physical Therapist
- Manitowoc, WI
National Provider Identifier
1598996563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11322-24
- Practice address
- 1650 S 41St St
Manitowoc, WI 54220-7316 - Phone
- (920) 320-3100
- Fax
- (920) 684-3194
- NPI assigned
- Aug 7, 2009
- Last updated
- Aug 14, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11322-24 | WI | Primary |
Addresses
Primary practice location
1650 S 41St St
Manitowoc, WI 54220-7316
Mailing address
2300 Western Ave
PO Box 2170
Manitowoc, WI 54220-3712
Phone (920) 320-8667
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 421220000 | Medicaid | WI |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11322-24 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250208000000",
"number": "1598996563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 WESTERN AVE",
"address_2": "PO BOX 2170",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542203712",
"telephone_number": "920-320-8667",
"fax_number": "920-320-8616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 S 41ST ST",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542207316",
"telephone_number": "920-320-3100",
"fax_number": "920-684-3194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FURHMANN",
"first_name": "AMY",
"middle_name": "DOLORES",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-07",
"last_updated": "2009-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "11322-24",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "421220000",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Manitowoc, WI
- Froedtert Health Pharmacy LLC (Froedtert Pharmacy 375)
- Froedtert Health Pharmacy, LLC (Froedtert Pharmacy 375)
- Froedtert Manitowoc Medical Group, LLC (Froedtert Northeast Medical Group)
- Margaret Grace Fuhrman, PA-C
- Lori M Fure, LCSW
- Kelly Gagnon
- Tammi S Gags, PA
- Steven P Gainey, M.D.
- Heather Lynn Garcia, MSOTR
- Kenneth Scott Gayle, MS ED LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.