Active NPI
Kathryn Jennifer Schmidt
- Physical Therapy Assistant
- Abbotsford, WI
National Provider Identifier
1659984425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 3021-19
- Practice address
- Abbotsford Healthcare Center
600 E Elm St
Abbotsford, WI 54405 - Phone
- (715) 223-6539
- NPI assigned
- Aug 31, 2020
- 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 Therapy Assistant | 225200000X | 3021-19 | WI | Primary |
Addresses
Primary practice location
Abbotsford Healthcare Center
600 E Elm St
Abbotsford, WI 54405
Mailing address
1025 E Madison St
Eau Claire, WI 54703-3190
Phone (715) 937-4098
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3021-19 | WI | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598832000000",
"number": "1659984425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 E MADISON ST",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547033190",
"telephone_number": "715-937-4098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ABBOTSFORD HEALTHCARE CENTER",
"address_2": "600 E ELM ST",
"city": "ABBOTSFORD",
"state": "WI",
"postal_code": "54405",
"telephone_number": "715-223-6539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMIDT",
"first_name": "KATHRYN",
"middle_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-31",
"last_updated": "2020-08-31",
"certification_date": "2020-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "WI",
"license": "3021-19",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Abbotsford, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.