Active NPI
Cumberland Memorial Hospital, Inc
- Physical Therapist
- Turtle Lake, WI
National Provider Identifier
1790043099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1058
- Legal business name
- CUMBERLAND MEMORIAL HOSPITAL, INC
- Practice address
- 632 US Highway 8 W
Turtle Lake, WI 54889-4411 - Phone
- (715) 822-4301
- Fax
- (715) 986-2236
- NPI assigned
- Apr 25, 2012
- Last updated
- Mar 3, 2026
- Organization subpart
- Yes
- Parent organization
- CUMBERLAND MEMORIAL HOSPITAL INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Emily Dilley
- Title
- Ceo
- Phone
- (715) 822-7252
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1058 | WI | Primary |
| Athletic Trainer | 2255A2300X | 1058 | WI | |
| Occupational Therapist | 225X00000X | 1058 | WI |
Addresses
Primary practice location
632 US Highway 8 W
Turtle Lake, WI 54889-4411
Mailing address
1705 16TH Ave
Cumberland, WI 54829-8601
Phone (715) 822-7500
Other names 1
- Turtle Lake Rehab Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040124000061 | WI | Part B Supplier - Clinic/Group Practice | 7719889203 |
Receives reassigned benefits from 25 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Cumberland, WI; Turtle Lake, WI |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Critical Access Hospital
- Cumberland, WI
- NPI 1831243757
O20040124000061
-
dba Cumberland Healthcare
- Family Medicine Physician
- Cumberland, WI
- NPI 1861736472
O20040124000061
-
dba Cumberland Healthcare Turtle Lake Clinic
- Rural Health Clinic/Center
- Turtle Lake, WI
- NPI 1952737264
O20040124000061
National Provider Directory
National Provider Directory- Part of
- Cumberland Memorial Hos
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772496000000",
"number": "1790043099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1705 16TH AVE",
"city": "CUMBERLAND",
"state": "WI",
"postal_code": "548298601",
"telephone_number": "715-822-7500",
"fax_number": "715-822-7221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "632 US HIGHWAY 8 W",
"city": "TURTLE LAKE",
"state": "WI",
"postal_code": "548894411",
"telephone_number": "715-822-4301",
"fax_number": "715-986-2236"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CUMBERLAND MEMORIAL HOSPITAL, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CUMBERLAND MEMORIAL HOSPITAL INC",
"enumeration_date": "2012-04-25",
"last_updated": "2026-03-03",
"certification_date": "2026-03-03",
"status": "A",
"authorized_official_last_name": "DILLEY",
"authorized_official_first_name": "EMILY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "715-822-7252"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "1058",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WI",
"license": "1058",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "1058",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Turtle Lake Rehab Center",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Turtle Lake Rehab Center",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Turtle Lake, WI
- Kathleen Ann Bergman
- Benjamin John Brenna, P.T.
- Sheri R Brunette
- Cesa #11 Rural Health Dental Clinic
- Cumberland Memorial Hospital Inc (Cumberland Healthcare Turtle Lake Clinic)
- Dean M Springer Eyecare Inc
- Dean M Springer Eyecare Inc (Springer Eyecare)
- Timothy J Deflorian, D.C.
- Kay Dorwin, PTA
- Kyra Mackenzie Engquist, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.