Active NPI
Carol Ann Schmitt Dickert, MS OTR L LPTA
- Occupational Therapist
- Milwaukee, WI
National Provider Identifier
1730355942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 852-026
- Practice address
- 2801 E Morgan Ave
Milwaukee, WI 53207-3771 - Phone
- (414) 977-5005
- Fax
- (414) 977-5011
- NPI assigned
- May 7, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 1185-019 | WI | |
| Occupational Therapist | 225X00000X | 852-026 | WI | Primary |
Addresses
Primary practice location
2801 E Morgan Ave
Milwaukee, WI 53207-3771
Mailing address
18940 Cavendish Rd
Brookfield, WI 53045-8159
Phone (262) 783-6620
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40505600 | 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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1185-019 | WI | MD | Physical Therapy Assistant |
| 852-026 | WI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210118400000",
"number": "1730355942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18940 CAVENDISH RD",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530458159",
"telephone_number": "262-783-6620",
"fax_number": "262-783-1513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 E MORGAN AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532073771",
"telephone_number": "414-977-5005",
"fax_number": "414-977-5011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMITT DICKERT",
"first_name": "CAROL",
"middle_name": "ANN",
"credential": "MS OTR L LPTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-07",
"last_updated": "2008-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "WI",
"license": "1185-019",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "852-026",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40505600",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.