Active NPI
Alzada E Oemig, P.T.
- Physical Therapist
- Stanley, WI
National Provider Identifier
1215298922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11586-24
- Practice address
- 1120 Pine St
Stanley, WI 54768-1297 - Phone
- (715) 644-6133
- Fax
- (715) 644-6221
- NPI assigned
- May 30, 2012
- Last updated
- Oct 2, 2023
- 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 | 11586-24 | WI | Primary |
Addresses
Primary practice location
1120 Pine St
Stanley, WI 54768-1297
Mailing address
13055 270TH St
Cadott, WI 54727-4629
Phone (715) 313-0385
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11586-24 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspirus Stanley Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Aspirus Stanley Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Aspirus Stanley Hospital & Clinics, Inc | Current | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
1120 Pine St
Stanley, WI 54768
Phone (715) 644-5530
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Aspirus Stanley Hospital
- Critical Access Hospital
- Stanley, WI
- NPI 1053391730
-
dba Aspirus Stanley Clinic
- Rural Health Clinic/Center
- Stanley, WI
- NPI 1356311252
-
dba Aspirus Pharmacy - Stanley
- Community/Retail Pharmacy
- Stanley, WI
- NPI 1578272266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696204800000",
"number": "1215298922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13055 270TH ST",
"city": "CADOTT",
"state": "WI",
"postal_code": "547274629",
"telephone_number": "715-313-0385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 PINE ST",
"city": "STANLEY",
"state": "WI",
"postal_code": "547681297",
"telephone_number": "715-644-6133",
"fax_number": "715-644-6221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OEMIG",
"first_name": "ALZADA",
"middle_name": "E",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-30",
"last_updated": "2023-10-02",
"certification_date": "2023-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "11586-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stanley, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.