Rebecca Kerby, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2773-19 Issued in WI

Practice address

2600 State Rd
La Crosse, WI 54601-6157

Phone

(608) 406-3140

NPI assigned

Jul 8, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1531008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1164918652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 MILLER PL",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546031048",
            "telephone_number": "810-278-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 STATE RD",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546016157",
            "telephone_number": "608-406-3140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 S Fremont St",
            "address_purpose": "LOCATION",
            "city": "Prairie Du Chien",
            "state": "WI",
            "postal_code": "538212331",
            "country_code": "US",
            "telephone_number": "608-326-8471",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1505 Butts Ave",
            "address_purpose": "LOCATION",
            "city": "Tomah",
            "state": "WI",
            "postal_code": "546602405",
            "country_code": "US",
            "telephone_number": "608-372-3241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERBY",
        "first_name": "REBECCA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-08",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "2773-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcia M Kendall, APNP
• Olivia Elizabeth Afton Kendall, RN
• Renee L Kendall
• Jeannine Bernadette Kendhammer, RN
• Sara L Kensmoe, CSW
• Bruce J Kerr, MD
• Joe Kerrigan
• Mary Anne Kerrigan, PT
• James Edward Kertis, D.D.S.
• Julie Keskimaki, PTA

• Physical Therapy Assistant in La Crosse, WI
• Providers in La Crosse, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.