Individual provider Active NPI

Peter John Roepke, PT

  • Physical Therapist
  • Medford, WI
National Provider Identifier
1265497739
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1628 Issued in WI
Practice address
640 South 8TH St
Roepke Physical Therapy
Medford, WI 54451
Phone
(715) 748-5203
Fax
(715) 748-0842
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1628 WI Primary

Addresses

Primary practice location

640 South 8TH St
Roepke Physical Therapy
Medford, WI 54451

Mailing address

640 South 8TH St
Medford, WI 54451
Phone (715) 748-5203

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Roepke Physical Therapy Limited Partnership PastSince Feb 23, 2004 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1265497739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 SOUTH 8TH ST",
            "city": "MEDFORD",
            "state": "WI",
            "postal_code": "54451",
            "telephone_number": "715-748-5203",
            "fax_number": "715-748-0842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 SOUTH 8TH ST",
            "address_2": "ROEPKE PHYSICAL THERAPY",
            "city": "MEDFORD",
            "state": "WI",
            "postal_code": "54451",
            "telephone_number": "715-748-5203",
            "fax_number": "715-748-0842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEPKE",
        "first_name": "PETER",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "1628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.