Active NPI
Brittani Schmidt
- Speech-Language Pathologist
- Cheyenne, WY
National Provider Identifier
1881189314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5069
- Practice address
- 1330 Prairie Ave
Cheyenne, WY 82009-4842 - Phone
- (307) 778-8997
- NPI assigned
- Jun 27, 2018
- Last updated
- Mar 10, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | PSLP.0000410 | CO | |
| Speech-Language Pathologist | 235Z00000X | 5069 | WI | Primary |
Addresses
Primary practice location
1330 Prairie Ave
Cheyenne, WY 82009-4842
Mailing address
640 River Oaks TRL
Kronenwetter, WI 54455-7927
Phone (715) 574-0947
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSLP.0000410 | CO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phyt Rehab of Wisconsin, Inc. | Current | Accepting new patients |
Locations
171 Kings Hwy
Brooklyn, NY 11223
Phone (877) 722-7700
911 Jackson St
Ste 101
Wausau, WI 54403
Phone (914) 837-6538
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.
-
- Physical Therapist
- Wausau, WI
- NPI 1366965931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678406400000",
"number": "1881189314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 RIVER OAKS TRL",
"city": "KRONENWETTER",
"state": "WI",
"postal_code": "544557927",
"telephone_number": "715-574-0947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 PRAIRIE AVE",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820094842",
"telephone_number": "307-778-8997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMIDT",
"first_name": "BRITTANI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-27",
"last_updated": "2023-03-10",
"certification_date": "2023-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CO",
"license": "PSLP.0000410",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WI",
"license": "5069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.