Alex Loppnow, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

4222-19 Issued in WI

Practice address

1555 Dousman St
Green Bay, WI 54303-3207

Phone

(920) 676-6383

NPI assigned

Nov 22, 2024

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• PRN Home Health & Therapy, LLC

  • Home Health Agency
  • Appleton, WI
  • NPI 1396111068
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1732233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1003632142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 E SOUTH RIVER ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549152223",
            "telephone_number": "920-830-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 DOUSMAN ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543033207",
            "telephone_number": "920-676-6383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPPNOW",
        "first_name": "ALEX",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-22",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "4222-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Marie Long, LCSW,CSAC
• Marshall A Longnecker, M.D.
• Jordan Lonigro, RN
• Diana Maria Lopategui Minaya, MD
• Austin Gilberto Lopez, DMD
• Lindsay Lorenz, PA-C
• Denece Ann Lorfeld, COTA
• Eric Love
• Patrick J Loving, D.C., D.I.C.C.P.
• Marisa Olivia Low, DDS

• Physical Therapy Assistant in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.