Active NPI
Courtney Elizabeth Roth
- Physical Therapist
- Stevens Point, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 17223-24
- Practice address
- 5501 Em Copps Dr
Stevens Point, WI 54482-8843 - Phone
- (715) 997-9816
- NPI assigned
- May 27, 2025
- 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 | 17223-24 | WI | Primary |
Addresses
Primary practice location
5501 Em Copps Dr
Stevens Point, WI 54482-8843
Mailing address
500 Vincent St
Stevens Point, WI 54481-1842
Other practice location 1
500 Vincent St
Stevens Point, WI 54481-1842
Phone (715) 344-0701
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250623001073 | WI | Practitioner - Physical Therapist in Private Practice | 1052823440 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Orthopaedic Centers of Wisconsin S C
Practice addresses (Care Compare)
5501 Em Copps Dr
Stevens Point, WI 54482-8843
Phone (715) 344-0701
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17223-24 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic Centers of Wisconsin S C | Physical Therapist | Current | Accepting new patients |
| Orthopaedic Centers of Wisconsin S C | Physical Therapist | Current | Accepting new patients |
| Orthopaedic Centers of Wisconsin S C | Physical Therapist | Current | Accepting new patients |
| Orthopaedic Centers of Wisconsin S C | Past | Accepting new patients |
Locations
500 Vincent St
Stevens Point, WI 54481
Phone (715) 341-7920
5501 Em Copps Dr
Stevens Point, WI 54482
Phone (715) 344-0701
3901 Stewart Ave
Wausau, WI 54401
Phone (715) 841-0002
Interoperability endpoints
- courtney.roth@spo.directbygreenway.com
Organizations & group practices 5
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.
-
- Occupational Therapist
- Wausau, WI
- NPI 1174977433
Physical Therapist, WI
-
- Physical Therapist
- Weston, WI
- NPI 1770188856
-
- Orthopaedic Surgery Physician
- Wausau, WI
- NPI 1922453398
Physical Therapist
-
- Orthopaedic Surgery Physician
- Stevens Point, WI
- NPI 1750736120
-
- Physical Therapist
- Wausau, WI
- NPI 1144844606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748304000000",
"number": "1093508657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 VINCENT ST",
"city": "STEVENS POINT",
"state": "WI",
"postal_code": "544811842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5501 EM COPPS DR",
"city": "STEVENS POINT",
"state": "WI",
"postal_code": "544828843",
"telephone_number": "715-997-9816"
}
],
"practiceLocations": [
{
"address_1": "500 Vincent St",
"address_purpose": "LOCATION",
"city": "Stevens Point",
"state": "WI",
"postal_code": "544811842",
"country_code": "US",
"telephone_number": "715-344-0701",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROTH",
"first_name": "COURTNEY",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-27",
"last_updated": "2025-05-27",
"certification_date": "2025-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "17223-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stevens Point, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.