Olivia Rae Algarate, PTA
Individual provider Active NPI Physical Therapy Assistant · Beloit, WI
NPI 1124526975 · NPPES record last updated Jan 26, 2018
Key facts
- NPI
- 1124526975
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2283-19 (WI)
- Practice address
- 2850 Milwaukee Rd Ste 400
Beloit, WI 53511-1943 - Phone
- (608) 856-0054
- NPI assigned
- Jan 26, 2018
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2283-19 | WI | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2283-19 | WI | Yes |
Addresses
Primary practice location
2850 Milwaukee Rd Ste 400
Beloit, WI 53511-1943
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Other providers in Beloit, WI
- Aj Alf Operations, LLC
- Aj Operations, LLC
- Aj Operations, LLC
- Russell D Albert
- Letecia A Alfaro
- Jordyn Algiers
- Osama Ali
- Aligned and Grounded Therapy LLC
- Brenda Jean Allen
- Melissa A. Amberger
All providers in Beloit, WI · Physical Therapy Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2018. 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.