Individual provider Active NPI

Jonathan M Schlomer, DPT

  • Physical Therapist
  • Winner, SD
National Provider Identifier
1811972615
Registry record updated Oct 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1136 Issued in SD
Practice address
825 E 8TH St
Suite 204
Winner, SD 57580-2633
Phone
(605) 842-7188
Fax
(605) 842-7189
NPI assigned
Dec 14, 2005
Last updated
Oct 9, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2310 NE
Physical Therapist 225100000X 1136 SD Primary

Addresses

Primary practice location

825 E 8TH St
Suite 204
Winner, SD 57580-2633

Mailing address

PO Box 435
Winner, SD 57580-0435
Phone (605) 842-7188

Other identifiers 7

IdentifierTypeStateIssuer
9192238OtherSDDAKOTA CARE
9207OtherSDAVERA HEALTH PLAN
0008439OtherSDWELLMARK
27183OtherSDSANFORD HEALTH PLAN
10025389600MedicaidNE
5833332MedicaidSD
5833330MedicaidSD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101112001193 SD Practitioner - Physical Therapist in Private Practice 5496702904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winner Physical Therapy IncGroup PAC ID 1759363690, 6 clinicians

Practice addresses (Care Compare)

825 E 8TH St
Suite 204
Winner, SD 57580-2633
Phone (605) 842-7188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2310NEMDProfessional Counselor
1136SDMDPhysical Therapist
1139SDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Winner Physical Therapy Inc Physical Therapist CurrentSince Jan 2, 2002 Accepting new patients

Locations

116 N Main Ave
Presho, SD 57568
Phone (605) 842-7188

745 E 8th St
Winner, SD 57580
Phone (605) 842-2626

825 E 8th St
Ste 204
Winner, SD 57580
Phone (605) 842-7188

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507507200000",
    "number": "1811972615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 435",
            "city": "WINNER",
            "state": "SD",
            "postal_code": "575800435",
            "telephone_number": "605-842-7188",
            "fax_number": "605-842-7189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 E 8TH ST",
            "address_2": "SUITE 204",
            "city": "WINNER",
            "state": "SD",
            "postal_code": "575802633",
            "telephone_number": "605-842-7188",
            "fax_number": "605-842-7189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLOMER",
        "first_name": "JONATHAN",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2017-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "2310",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "1136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTA CARE",
            "identifier": "9192238",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVERA HEALTH PLAN",
            "identifier": "9207",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "0008439",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SANFORD HEALTH PLAN",
            "identifier": "27183",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025389600",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5833332",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5833330",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winner, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.