Active NPI
Elderize Von Schilling Worth, BA, CT, CTR
- Rehabilitation Practitioner
- Racine, WI
National Provider Identifier
1891401212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 2310 S Green Bay Rd Ste C266
Racine, WI 53406-4957 - Phone
- (414) 285-1331
- NPI assigned
- Jan 30, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
2310 S Green Bay Rd Ste C266
Racine, WI 53406-4957
Mailing address
2310 S Green Bay Rd Ste C226
Racine, WI 53406-4957
Phone (414) 285-1331
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 92-1960720 | Other | WI | WORKERS COMPENSATION AND PERSONAL INJURY |
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
- Credentials
- Bachelor of Arts, Certified Tumor Registrar
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685491200000",
"number": "1891401212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2310 S GREEN BAY RD STE C226",
"city": "RACINE",
"state": "WI",
"postal_code": "534064957",
"telephone_number": "414-285-1331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2310 S GREEN BAY RD STE C266",
"city": "RACINE",
"state": "WI",
"postal_code": "534064957",
"telephone_number": "414-285-1331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VON SCHILLING WORTH",
"first_name": "ELDERIZE",
"credential": "BA, CT, CTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-30",
"last_updated": "2023-05-31",
"certification_date": "2023-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMPENSATION AND PERSONAL INJURY",
"identifier": "92-1960720",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Racine, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.