Active NPI
Stacy Lynne Schaefer, PT
- Physical Therapist
- Sheboygan, WI
National Provider Identifier
1740932672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4543-24
- Practice address
- 3100 Superior Ave
Sheboygan, WI 53081-1994 - Phone
- (920) 457-5770
- Fax
- (920) 457-5951
- NPI assigned
- Jan 21, 2022
- 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 | 4543-24 | WI | Primary |
Addresses
Primary practice location
3100 Superior Ave
Sheboygan, WI 53081-1994
Mailing address
1136 S 19TH St
Sheboygan, WI 53081-5130
Phone (920) 946-3432
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4543-24 | Other | WI | WI PT LICENSE NUMBER |
Other names 1
- Stacy L Cook
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sschaefer99588@ewd.direct.hshs.org | Direct |
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 |
|---|---|---|---|
| 4543-24 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642896000000",
"number": "1740932672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1136 S 19TH ST",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530815130",
"telephone_number": "920-946-3432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 SUPERIOR AVE",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530811994",
"telephone_number": "920-457-5770",
"fax_number": "920-457-5951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAEFER",
"first_name": "STACY",
"middle_name": "LYNNE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-21",
"last_updated": "2022-01-23",
"certification_date": "2022-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "4543-24",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WI PT LICENSE NUMBER",
"identifier": "4543-24",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sschaefer99588@ewd.direct.hshs.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "3100 Superior Ave",
"city": "Sheboygan",
"state": "WI",
"country_code": "US",
"postal_code": "530811994",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "STACY",
"last_name": "COOK",
"middle_name": "L",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Sheboygan, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.