NPIMap

Jonathan Paul Rahmer, MSPT

Individual provider Active NPI Physical Therapist · Phillips, WI

NPI 1356572952 · NPPES record last updated Aug 8, 2013

Key facts

NPI
1356572952
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
10995-024 (WI)
Practice address
545 Peterson Dr
Phillips, WI 54555-6800
Phone
(715) 339-3113
NPI assigned
Jul 30, 2009
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
10995-024WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Extended Services, Inc. Physical Therapist Past
since Aug 24, 2009		 Accepting new patients
Aspirus Lillian Kerr Health Care Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10995-024 WI Yes

Addresses

Primary practice location

545 Peterson Dr
Phillips, WI 54555-6800

Mailing address

W7374 S Minnow Lake Rd
Phillips, WI 54555-6800
Phone (715) 820-1810

Other providers in Phillips, WI

All providers in Phillips, WI · Physical Therapist in Wisconsin

Sources for this page

Verify at the official NPI Registry.