Individual provider Active NPI

Earlynda Redmond, PT

  • Physical Therapist
  • Plover, WI
National Provider Identifier
1336254853
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10115 Issued in WI
Practice address
2401 Plover Rd
Plover, WI 54467-3916
Phone
(715) 295-3800
NPI assigned
Aug 21, 2006
Last updated
Jun 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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 10115 WI Primary

Addresses

Primary practice location

2401 Plover Rd
Plover, WI 54467-3916

Mailing address

2401 Plover Rd
Plover, WI 54467-3916
Phone (715) 295-3800

Other practice location 1

1000 E Riverview Expy
Suite 140
Wisconsin Rapids, WI 54494-5422
Phone (715) 423-4442

Other practice location 2

1000 E Riverview Expy
Suite 140
Wisconsin Rapids, WI 54494-5422
Phone (715) 423-4442

Other identifiers 1

IdentifierTypeStateIssuer
40396500MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160613001901 WI Practitioner - Physical Therapist in Private Practice 9436440922 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10115WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Jan 4, 2022 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Jan 4, 2022 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Jan 4, 2022 Accepting new patients
Roberts & Associates Physical Therapy SC CurrentSince May 11, 2016 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Jan 4, 2022 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. Past Accepting new patients
MCHS Hospitals Inc PastSince Aug 14, 2022 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

2401 Plover Rd
Plover, WI 54467
Phone (715) 259-3800

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-3000

900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

1000 E Riverview Expy
Ste 140
Wisconsin Rapids, WI 54494
Phone (715) 423-4442

621 8th St S
Wisconsin Rapids, WI 54494
Phone (715) 529-3487

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1336254853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 PLOVER RD",
            "city": "PLOVER",
            "state": "WI",
            "postal_code": "544673916",
            "telephone_number": "715-295-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 PLOVER RD",
            "city": "PLOVER",
            "state": "WI",
            "postal_code": "544673916",
            "telephone_number": "715-295-3800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 E Riverview Expy",
            "address_2": "Suite 140",
            "address_purpose": "LOCATION",
            "city": "Wisconsin Rapids",
            "state": "WI",
            "postal_code": "544945422",
            "country_code": "US",
            "telephone_number": "715-423-4442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 E Riverview Expy",
            "address_2": "Suite 140",
            "address_purpose": "LOCATION",
            "city": "Wisconsin Rapids",
            "state": "WI",
            "postal_code": "544945422",
            "country_code": "US",
            "telephone_number": "715-423-4442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDMOND",
        "first_name": "EARLYNDA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "10115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40396500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plover, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.

Verify at the official NPI Registry.