Organization Active NPI

Cumberland Memorial Hospital, Inc

  • Physical Therapist
  • Turtle Lake, WI
National Provider Identifier
1790043099
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1058 Issued in WI
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, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
CUMBERLAND MEMORIAL HOSPITAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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)CodeLicenseStatePrimary
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 Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

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

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.

Verify at the official NPI Registry.