Active NPI
Luann Roth, PT
- Physical Therapist
- Onalaska, WI
National Provider Identifier
1306233267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2453-24
- Practice address
- 1600 Main St
Onalaska, WI 54650-2838 - Phone
- (608) 783-4681
- NPI assigned
- Apr 17, 2015
- 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 | 2453-24 | WI | Primary |
Addresses
Primary practice location
1600 Main St
Onalaska, WI 54650-2838
Mailing address
N1418 Timber Valley Rd
La Crosse, WI 54601-2172
Phone (608) 787-6386
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 |
|---|---|---|---|
| 2453-24 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mississippi Valley Physical Rehabilitation S.C. | Physical Therapist | Past | 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.
-
- Physical Therapist
- La Crosse, WI
- NPI 1174683155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429228800000",
"number": "1306233267",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 MAIN ST",
"city": "ONALASKA",
"state": "WI",
"postal_code": "546502838",
"telephone_number": "608-783-4681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTH",
"first_name": "LUANN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-17",
"last_updated": "2015-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "2453-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Onalaska, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.