Active NPI
Maggie Roseann Rottinghaus, PTA
- Physical Therapy Assistant
- Rhinelander, WI
National Provider Identifier
1225489495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 005114
- Practice address
- 1970 Navajo St
Rhinelander, WI 54501 - Phone
- (715) 420-0728
- NPI assigned
- Jun 28, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2115410 | TX | |
| Physical Therapy Assistant | 225200000X | 2495-19 | WI | |
| Physical Therapy Assistant | 225200000X | 005114 | IA | Primary |
Addresses
Primary practice location
1970 Navajo St
Rhinelander, WI 54501
Mailing address
N11161 Nibler Rd
Tomahawk, WI 54487-8329
Other practice location 1
428 N 6th St
Tomahawk, WI 54487-1425
Phone (715) 453-2511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225489495 | Medicaid | WI |
Other names 1
- Maggie Roseann Miller
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005114 | IA | MD | Physical Therapist |
| 2115410 | TX | MD | Physical Therapy Assistant |
| 2495-19 | WI | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530489600000",
"number": "1225489495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N11161 NIBLER RD",
"city": "TOMAHAWK",
"state": "WI",
"postal_code": "544878329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1970 NAVAJO ST",
"city": "RHINELANDER",
"state": "WI",
"postal_code": "54501",
"telephone_number": "715-420-0728"
}
],
"practiceLocations": [
{
"address_1": "428 N 6th St",
"address_purpose": "LOCATION",
"city": "Tomahawk",
"state": "WI",
"postal_code": "544871425",
"country_code": "US",
"telephone_number": "715-453-2511",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROTTINGHAUS",
"first_name": "MAGGIE",
"middle_name": "ROSEANN",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-28",
"last_updated": "2018-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2115410",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "WI",
"license": "2495-19",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IA",
"license": "005114",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1225489495",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MAGGIE",
"last_name": "MILLER",
"middle_name": "ROSEANN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Rhinelander, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.