Miranda S Schulenberg, OTR

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

5002 Issued in WI

Practice address

1011 N 8TH St
Sheboygan, WI 53081-4226

Phone

(920) 459-4339

NPI assigned

Mar 21, 2011

Last updated

Dec 28, 2016By the provider in NPPES

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 names 1

• Miranda Shippy Former name

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aegis Group Practice LLCGroup PAC ID 5193036432, 399 clinicians

Presbyterian Homes of Wisconsin IncGroup PAC ID 7618341439, 38 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aegis Group Practice LLC

  • Physical Therapist
  • Onalaska, WI
  • NPI 1306336565
  Medicare reassignment Care Compare group NPD
• Presbyterian Homes of Wisconsin, Inc.

  dba Avalon Square

  • Rehabilitation Clinic/Center
  • Waukesha, WI
  • NPI 1336845551
  Medicare reassignment Care Compare group
• Aegis Group Practice LLC

  • Physical Therapist
  • Fitchburg, WI
  • NPI 1215504550
  NPD
• Aegis Group Practice LLC

  • Physical Therapist
  • Indian Harbour Beach, FL
  • NPI 1932072030
  NPD

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482883200000",
    "number": "1720387467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 N 8TH ST",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530814226",
            "telephone_number": "920-459-4339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 N 8TH ST",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530814226",
            "telephone_number": "920-459-4339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULENBERG",
        "first_name": "MIRANDA",
        "middle_name": "S",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-21",
        "last_updated": "2016-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "WI",
            "license": "5002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRANDA",
            "last_name": "SHIPPY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amanda Kate Schroeder, LPC
• Lori Ann Schuette, APNP
• Nicki Schuette, ATC
• Steven D Schuh, CADC III
• Taylor Schuh, RDH
• Elizabeth E Schultz, MSW
• Jacob Schultz, ATC, LAT
• Joan Marie Schultz, COTA
• Kelsey Ruth Schultz
• Russell L. Schultz, LCSW

• Pediatric Occupational Therapist in Sheboygan, WI
• Providers in Sheboygan, WI by specialty
• Pediatric Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.