Mary Rose Strickland, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11464-24 Issued in WI

Practice address

2639 New Pinery Rd
Suite 2
Portage, WI 53901-1110

Phone

(608) 742-9356

Fax

(608) 742-9358

NPI assigned

Jun 1, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mary Rose Luciano Former name

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Life Physical Therapy and Sports Medicine IncGroup PAC ID 2567413339, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• New Life Physical Therapy & Sports Medicine, Inc.

  • Physical Therapist
  • Portage, WI
  • NPI 1467499939
  Medicare reassignment Care Compare group NPD
• New Life Physical Therapy & Sports Medicine

  • Physical Therapy Clinic/Center
  • Portage, WI
  • NPI 1033522354
  NPD Authorized official

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478044800000",
    "number": "1376863324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2639 NEW PINERY RD STE 2",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539011110",
            "telephone_number": "608-742-9356",
            "fax_number": "608-742-9358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2639 NEW PINERY RD",
            "address_2": "SUITE 2",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539011110",
            "telephone_number": "608-742-9356",
            "fax_number": "608-742-9358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRICKLAND",
        "first_name": "MARY ROSE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-01",
        "last_updated": "2016-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "11464-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY ROSE",
            "last_name": "LUCIANO",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stewart F Taylor Jr MD
• Kimberly Stewart, MS
• Aimee Stieve, MPT
• Katherine Andries Stodola, APNP
• Elizabeth R Strabel, MD
• Brie K Strook, FNP, APNP
• Brian T. Stubitsch, MD
• Leonas Pranas Sulas, MD
• Dalia Suliene, MD
• Meredith Sullivan, MS, MA

• Physical Therapist in Portage, WI
• Providers in Portage, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.