Tomah VA Medical Center – Rehabilitation Hospital

Key facts

NPI: 1366487217
Entity type: Organization (NPI type 2)
Primary specialty: Rehabilitation Hospital 283X00000X
License: 4913 (WI)
Legal business name: TOMAH VA MEDICAL CENTER
Practice address: 500 E Veterans St
Tomah, WI 54660-3105
Phone: (608) 372-3971
NPI assigned: Jun 17, 2006
Organization subpart: No

Authorized official

Name: Mrs. Deena Lynn Olson NPI 1487675922
Title: Physical Therapist
Phone: (608) 372-3971

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Deena Lynn Olson, P.T. Physical Therapist · Tomah, WI · NPI 1487675922

NPD (past) Authorized official

National Provider Directory

Locations

500 E Veterans St
Tomah, WI 54660
Phone (608) 374-8182

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Rehabilitation Hospital	283X00000X	4913	WI	Yes

Addresses

Primary practice location

500 E Veterans St
Tomah, WI 54660-3105

Mailing address

W4279 Tower LN
La Crosse, WI 54601-2583
Phone (608) 787-0503

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 25, 2008.

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1366487217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W4279 TOWER LN",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546012583",
            "telephone_number": "608-787-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E VETERANS ST",
            "city": "TOMAH",
            "state": "WI",
            "postal_code": "546603105",
            "telephone_number": "608-372-3971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOMAH VA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "DEENA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "608-372-3971",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "WI",
            "license": "4913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomah, WI

All providers in Tomah, WI · Rehabilitation Hospital in Wisconsin

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2008. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.