Active NPI
Laura Guetzkow
- Physical Therapist
- Elkhorn, WI
National Provider Identifier
1245350867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2075-24
- Practice address
- W4051 County Road NN
Elkhorn, WI 53121-4338 - Phone
- (262) 741-3249
- NPI assigned
- Mar 29, 2007
- 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 | 2075-24 | WI | Primary |
Addresses
Primary practice location
W4051 County Road NN
Elkhorn, WI 53121-4338
Mailing address
607 Laurel Heights Dr
Delavan, WI 53115-1319
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40070800 | Medicaid | WI |
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 |
|---|---|---|---|
| 2075-24 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245350867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 LAUREL HEIGHTS DR",
"city": "DELAVAN",
"state": "WI",
"postal_code": "531151319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W4051 COUNTY ROAD NN",
"city": "ELKHORN",
"state": "WI",
"postal_code": "531214338",
"telephone_number": "262-741-3249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUETZKOW",
"first_name": "LAURA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "2075-24",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40070800",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elkhorn, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.