Active NPI
Rogelita Amurao Schubert, PT
- Physical Therapist
- Rib Lake, WI
National Provider Identifier
1962675751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9921-024
- Practice address
- 650 Pearl St
Rib Lake, WI 54470-9322 - Phone
- (715) 427-5297
- NPI assigned
- Apr 11, 2008
- Last updated
- Jun 20, 2013
- 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 | 9921-024 | WI | Primary |
Addresses
Primary practice location
650 Pearl St
Rib Lake, WI 54470-9322
Mailing address
650 Pearl St
Rib Lake, WI 54470-9322
Phone (715) 427-5297
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40382200 | Medicaid | WI |
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 |
|---|---|---|---|
| 9921-024 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NSH Rib Lake LLC | Past | Accepting new patients |
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": "1207872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371686400000",
"number": "1962675751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 PEARL ST",
"city": "RIB LAKE",
"state": "WI",
"postal_code": "544709322",
"telephone_number": "715-427-5297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 PEARL ST",
"city": "RIB LAKE",
"state": "WI",
"postal_code": "544709322",
"telephone_number": "715-427-5297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHUBERT",
"first_name": "ROGELITA",
"middle_name": "AMURAO",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-11",
"last_updated": "2013-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "9921-024",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40382200",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rib Lake, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.