Active NPI
Rebecca Lynn Nault, DPT
- Physical Therapist
- Pewaukee, WI
National Provider Identifier
1336777622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10897
- Practice address
- 2900 Golf Rd
Pewaukee, WI 53072-5449 - Phone
- (262) 928-7200
- NPI assigned
- Mar 31, 2020
- 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 | 10897 | WI | Primary |
Addresses
Primary practice location
2900 Golf Rd
Pewaukee, WI 53072-5449
Mailing address
2161 N 53Rd St
Milwaukee, WI 53208-1008
Phone (414) 550-4278
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10897 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585612800000",
"number": "1336777622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2161 N 53RD ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532081008",
"telephone_number": "414-550-4278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 GOLF RD",
"city": "PEWAUKEE",
"state": "WI",
"postal_code": "530725449",
"telephone_number": "262-928-7200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAULT",
"first_name": "REBECCA",
"middle_name": "LYNN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-31",
"last_updated": "2020-03-31",
"certification_date": "2020-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "10897",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pewaukee, WI
- Joseph A. Muchka, LPC, NCC, CADCIII
- Jessica Mueller
- Heather Michelle Murnane, O.T.
- Daniel Edmond Myers, D.D.S
- Erin Elizabeth Nash, D.C.
- Jessica Nelson, RN
- Jennifer Lynn Nemec, RN
- Neurological Wellness Clinic, SC
- New Lifecare Hospitals of Milwaukee LLC (LifeCare Hospitals of Wisconsin)
- Julie I Newman, OTR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.