Elizabeth Lacy Rau, DPT
Individual provider Active NPI Physical Therapist · Baldwin, WI
NPI 1053027847 · NPPES record last updated Jun 30, 2023
Key facts
- NPI
- 1053027847
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 16161-24 (WI)
- Practice address
- 1100 Bergslien St
Baldwin, WI 54002-2600 - Phone
- (715) 684-1111
- NPI assigned
- Jan 25, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16161-24 | WI | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 16161-24 | WI | Yes |
| Physical Therapist | 225100000X | 11603 | MN |
Addresses
Primary practice location
1100 Bergslien St
Baldwin, WI 54002-2600
Mailing address
1021 Eulaine Cir
Hammond, WI 54015-5040
Other names
- Elizabeth Lacy Fijalkiewicz
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | erau382006@ewd.direct.hshs.org | Direct | Sacred Heart Hospital of the Hospital Sisters- 3rd Order of St Francis |
Other providers in Baldwin, WI
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- Rasmussen Village Pharmacy, Inc.
- Dane L Rasmussen
- Reformedicine SC
- Reformedicine, S.C.
- Richfield Medical, LLC
- Jayne Elizabeth Rimer
- Russell Roloff
All providers in Baldwin, WI · Physical Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.