Active NPI
Susan Leslie Schum-Knickelbine, O.T.R., C.H.T.
- Hand Occupational Therapist
- Manitowoc, WI
National Provider Identifier
1982732590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 699-026
- Practice address
- 1212 Memorial Dr
Ste 1
Manitowoc, WI 54220-2247 - Phone
- (920) 652-9554
- Fax
- (920) 652-9556
- NPI assigned
- Mar 2, 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 |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | 699-026 | WI | Primary |
Addresses
Primary practice location
1212 Memorial Dr
Ste 1
Manitowoc, WI 54220-2247
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223
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 |
|---|---|---|---|
| 699-026 | WI | MD | Hand Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Orthopaedic Physical Therapy, LLC | Past | Accepting new patients | |
| Athletic & Therapeutic Institute of Milwaukee, LLC | Hand | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Manitowoc, WI
- NPI 1750573150
-
- Physical Therapist
- Greenfield, WI
- NPI 1174611313
Hand
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459123200000",
"number": "1982732590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "630-296-2223",
"fax_number": "630-759-9510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 MEMORIAL DR",
"address_2": "STE 1",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542202247",
"telephone_number": "920-652-9554",
"fax_number": "920-652-9556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHUM-KNICKELBINE",
"first_name": "SUSAN",
"middle_name": "LESLIE",
"credential": "O.T.R., C.H.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-02",
"last_updated": "2016-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "WI",
"license": "699-026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manitowoc, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.