Individual provider Active NPI

Carol Ann Schmitt Dickert, MS OTR L LPTA

  • Occupational Therapist
  • Milwaukee, WI
National Provider Identifier
1730355942
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
852-026 Issued in WI
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

Updated by the provider on May 7, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
40505600MedicaidWI

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

LicenseStateTypeSpecialty
1185-019WIMDPhysical Therapy Assistant
852-026WIMDOccupational 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.

Verify at the official NPI Registry.