Active NPI
Brenda Lee Schilder, P.T.
- Developmentally Disabled Services Day Training Agency
- Sheboygan, WI
National Provider Identifier
1811901523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- License
- 4764-024
- Practice address
- 1125 N 13TH St
Sheboygan, WI 53081-3281 - Phone
- (920) 208-9648
- Fax
- (920) 208-6316
- NPI assigned
- Jul 28, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | 4764-024 | WI | Primary |
Addresses
Primary practice location
1125 N 13TH St
Sheboygan, WI 53081-3281
Mailing address
735 Sunset Dr
Plymouth, WI 53073-1022
Phone (920) 892-8070
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 |
|---|---|---|---|
| 4764-024 | WI | MD | Developmentally Disabled Services Day Training Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811901523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "735 SUNSET DR",
"city": "PLYMOUTH",
"state": "WI",
"postal_code": "530731022",
"telephone_number": "920-892-8070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 N 13TH ST",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530813281",
"telephone_number": "920-208-9648",
"fax_number": "920-208-6316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHILDER",
"first_name": "BRENDA",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "WI",
"license": "4764-024",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.