Active NPI
Debra Foley
- Physical Therapist
- Rochester, WI
National Provider Identifier
1053435677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5496-024
- Practice address
- 102 N. State Street
Rochester, WI 53167 - Phone
- (262) 331-4397
- NPI assigned
- Mar 19, 2007
- Last updated
- Oct 10, 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5496-024 | WI | Primary |
Addresses
Primary practice location
102 N. State Street
Rochester, WI 53167
Mailing address
27309 Apple Road
Waterford, WI 53185
Phone (262) 331-4397
Other names 1
- Debra Baver
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 |
|---|---|---|---|
| 5496-024 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| In- Home Rehab Southeastern | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Rochester, WI
- NPI 1215950696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191974400000",
"number": "1053435677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27309 APPLE ROAD",
"city": "WATERFORD",
"state": "WI",
"postal_code": "53185",
"telephone_number": "262-331-4397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 N. STATE STREET",
"city": "ROCHESTER",
"state": "WI",
"postal_code": "53167",
"telephone_number": "262-331-4397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOLEY",
"first_name": "DEBRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2007-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "5496-024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEBRA",
"last_name": "BAVER",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Rochester, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.