Active NPI
Beth S Laxton, PT
- Physical Therapist
- Soldiers Grove, WI
National Provider Identifier
1023285491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1453-24
- Practice address
- 101 Sunshine Blvd
Soldiers Grove, WI 54655-7106 - Phone
- (608) 624-5244
- NPI assigned
- May 14, 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 | 1453-24 | WI | Primary |
Addresses
Primary practice location
101 Sunshine Blvd
Soldiers Grove, WI 54655-7106
Mailing address
12182 Excelsior Rd
Blue River, WI 53518-4902
Phone (608) 537-2026
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 |
|---|---|---|---|
| 1453-24 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210723200000",
"number": "1023285491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12182 EXCELSIOR RD",
"city": "BLUE RIVER",
"state": "WI",
"postal_code": "535184902",
"telephone_number": "608-537-2026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 SUNSHINE BLVD",
"city": "SOLDIERS GROVE",
"state": "WI",
"postal_code": "546557106",
"telephone_number": "608-624-5244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAXTON",
"first_name": "BETH",
"middle_name": "S",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-14",
"last_updated": "2008-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "1453-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Soldiers Grove, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.