Mississippi Valley Physical Rehabilitation S.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MISSISSIPPI VALLEY PHYSICAL REHABILITATION S.C.

Practice address

N1418 Timber Valley Rd
La Crosse, WI 54601-2172

Phone

(608) 787-6386

Fax

(608) 788-4543

NPI assigned

Dec 11, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Kathleen Seitz

Title

Vice President

Phone

(608) 787-6386

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Lee Seitz, PT

  • Physical Therapist
  • La Crosse, WI
  • NPI 1730249632
  Medicare reassignment NPD
• Sierra Branson, PTA

  • Physical Therapy Assistant
  • La Crosse, WI
  • NPI 1457918195
  NPD (past)
• Luann Roth, PT

  • Physical Therapist
  • Onalaska, WI
  • NPI 1306233267
  NPD (past)
• Kelly Wolf, PTA

  • Physical Therapy Assistant
  • Galesville, WI
  • NPI 1851958508
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624233600000",
    "number": "1174683155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N1418 TIMBER VALLEY RD",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546012172",
            "telephone_number": "608-787-6386",
            "fax_number": "608-788-4543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N1418 TIMBER VALLEY RD",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546012172",
            "telephone_number": "608-787-6386",
            "fax_number": "608-788-4543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI VALLEY PHYSICAL REHABILITATION S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A",
        "authorized_official_last_name": "SEITZ",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "608-787-6386",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41808800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kim Marie Minnaert, CRNA
• Breanna Jane Minor
• Michelle Collette Mirasola, SLP
• Joni L Mirehouse, PA
• Lori Ann Miskell, NP
• Kristin Mitchell, PT
• Mya Lee Mitchell
• Phillip Scott Mitchell, DPT
• Jane M Mitley, APNP
• Benjamin S Mixis

• Physical Therapist in La Crosse, WI
• Providers in La Crosse, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.