Active NPI
Katy L Schmidt, OTR
- Occupational Therapist
- Sheboygan, WI
National Provider Identifier
1790064574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4929-86
- Practice address
- 1902 Mead Ave
Sheboygan, WI 53081-6140 - Phone
- (920) 458-8333
- Fax
- (920) 458-6837
- NPI assigned
- Aug 10, 2011
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 4929-86 | WI | Primary |
Addresses
Primary practice location
1902 Mead Ave
Sheboygan, WI 53081-6140
Mailing address
1902 Mead Ave
Sheboygan, WI 53081-6140
Phone (920) 458-8333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4929-86 | Other | WI | WISCONSIN LICENSE |
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 |
|---|---|---|---|
| 4929-86 | WI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312934400000",
"number": "1790064574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1902 MEAD AVE",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530816140",
"telephone_number": "920-458-8333",
"fax_number": "920-458-6837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1902 MEAD AVE",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530816140",
"telephone_number": "920-458-8333",
"fax_number": "920-458-6837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMIDT",
"first_name": "KATY",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-10",
"last_updated": "2011-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "4929-86",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WISCONSIN LICENSE",
"identifier": "4929-86",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}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 Aug 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.