Individual provider Active NPI

Garett F Rogstad, PT, DPT

  • Physical Therapist
  • Verona, WI
National Provider Identifier
1356536304
Registry record updated Apr 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11053-24 Issued in WI
Practice address
411 Prairie Heights Dr
Suite 101
Verona, WI 53593-2238
Phone
(608) 848-6628
Fax
(608) 848-6629
NPI assigned
Sep 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2013

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 11053-24 WI Primary

Addresses

Primary practice location

411 Prairie Heights Dr
Suite 101
Verona, WI 53593-2238

Mailing address

411 Prairie Heights Dr
Suite 101
Verona, WI 53593-2238
Phone (608) 848-6628

Other identifiers 2

IdentifierTypeStateIssuer
36182900MedicaidWI
823750006OtherWIMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090319000595 WI Practitioner - Physical Therapist in Private Practice 0345323531 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capitol Physical Therapy Specialists LLCGroup PAC ID 4981931466, 24 clinicians

Practice addresses (Care Compare)

1215 Springdale St
Mount Horeb, WI 53572-2016
Phone (608) 437-0222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7717AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Physicians, LLP Physical Therapist CurrentSince May 29, 2019 Accepting new patients
Capitol Physical Therapy Specialists LLC Physical Therapist CurrentSince Jun 29, 2019 Accepting new patients
Carter Rehabilitation LLC PastSince Jun 1, 2007 Accepting new patients

Locations

4410 Regent St
Madison, WI 53705
Phone (608) 233-9746

3525 University Ave
Madison, WI 53705
Phone (608) 467-3537

1215 Springdale St
Mount Horeb, WI 53572
Phone (608) 437-0222

1266 W Main St
Sun Prairie, WI 53590
Phone (608) 318-1357

416 E Verona Ave
Verona, WI 53593
Phone (608) 848-6628

Organizations & group practices 3

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": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364947200000",
    "number": "1356536304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 PRAIRIE HEIGHTS DR",
            "address_2": "SUITE 101",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535932238",
            "telephone_number": "608-848-6628",
            "fax_number": "608-848-6629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 PRAIRIE HEIGHTS DR",
            "address_2": "SUITE 101",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535932238",
            "telephone_number": "608-848-6628",
            "fax_number": "608-848-6629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGSTAD",
        "first_name": "GARETT",
        "middle_name": "F",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-12",
        "last_updated": "2013-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "11053-24",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36182900",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "823750006",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Verona, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.