Active NPI
Brenda Jane Schultz, P.T.
- Physical Therapist
- Eau Claire, WI
National Provider Identifier
1912117433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4045-024
- Practice address
- N1719 945TH St
Eau Claire, WI 54701-1823 - Phone
- (715) 875-4674
- NPI assigned
- May 23, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4045-024 | WI | Primary |
Addresses
Primary practice location
N1719 945TH St
Eau Claire, WI 54701-1823
Mailing address
N1719 945TH St
Eau Claire, WI 54701-1823
Phone (715) 875-4674
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 |
|---|---|---|---|
| 4045-024 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912117433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N1719 945TH ST",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547011823",
"telephone_number": "715-875-4674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N1719 945TH ST",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547011823",
"telephone_number": "715-875-4674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULTZ",
"first_name": "BRENDA",
"middle_name": "JANE",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "4045-024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eau Claire, 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.