Elizabeth G Fjelstad, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11050 Issued in WI

Practice address

1970 Navajo St
Rhinelander, WI 54501-8890

Phone

(715) 420-0728

Fax

(715) 420-0729

NPI assigned

Jun 30, 2008

Last updated

Mar 19, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Elizabeth G Raymond Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: efjelstad12559@direct.mhemail.org

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426723200000",
    "number": "1053573030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1970 NAVAJO ST",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545018890",
            "telephone_number": "715-420-0728",
            "fax_number": "715-420-0729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 NAVAJO ST",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545018890",
            "telephone_number": "715-420-0728",
            "fax_number": "715-420-0729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FJELSTAD",
        "first_name": "ELIZABETH",
        "middle_name": "G",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-30",
        "last_updated": "2015-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "11050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36182600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "RAYMOND",
            "middle_name": "G",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nathan James Fiebke, DDS
• Kristi A Finnan, MS MFT LCSW
• First Impressions SC
• Kathleen Fisher, CRNA
• Rebecca A Fix, APNP
• Adam Flannery
• Stephanie Flynn, PT, DPT
• Carol Ann Fochs, RN
• Trina Ford, NP
• Leonard G Fralick Jr., D.D.S.

• Physical Therapist in Rhinelander, WI
• Providers in Rhinelander, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; 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.