Active NPI
Meredith Sue Umnus, PT
- Physical Therapist
- Lake Geneva, WI
National Provider Identifier
1982870325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4760-024
- Practice address
- N2950 State Road 67
Lake Geneva, WI 53147-2655 - Phone
- (262) 245-4980
- Fax
- (262) 245-2248
- NPI assigned
- May 6, 2008
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4760-024 | WI | Primary |
Addresses
Primary practice location
N2950 State Road 67
Lake Geneva, WI 53147-2655
Mailing address
N2950 State Road 67
Lake Geneva, WI 53147-2655
Phone (262) 245-4980
Other practice location 1
211 S Curtis St
Lake Geneva, WI 53147-2052
Phone (262) 248-3145
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40262200 | Medicaid | WI | |
| 1982870325 | Medicaid | WI |
Other names 1
- Meredith S. Baerbock
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 |
|---|---|---|---|
| 4760-024 | WI | MD | Physical Therapist |
Interoperability endpoints
- mumnus46532@direct.mhemail.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1982870325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N2950 STATE ROAD 67",
"city": "LAKE GENEVA",
"state": "WI",
"postal_code": "531472655",
"telephone_number": "262-245-4980",
"fax_number": "262-245-2248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N2950 STATE ROAD 67",
"city": "LAKE GENEVA",
"state": "WI",
"postal_code": "531472655",
"telephone_number": "262-245-4980",
"fax_number": "262-245-2248"
}
],
"practiceLocations": [
{
"address_1": "211 S Curtis St",
"address_purpose": "LOCATION",
"city": "Lake Geneva",
"state": "WI",
"postal_code": "531472052",
"country_code": "US",
"telephone_number": "262-248-3145",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "UMNUS",
"first_name": "MEREDITH",
"middle_name": "SUE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-06",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "4760-024",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40262200",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1982870325",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MEREDITH",
"last_name": "BAERBOCK",
"middle_name": "S.",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lake Geneva, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.