Organization Active NPI

Tomah Therapy Center, LLC

  • Physical Therapist
  • Tomah, WI
National Provider Identifier
1386763399
Registry record updated Jan 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
TOMAH THERAPY CENTER, LLC
Practice address
430 Julie St
Tomah, WI 54660-2924
Phone
(608) 372-0800
Fax
(608) 372-1940
NPI assigned
Mar 29, 2007
Last updated
Jan 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2016

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

Authorized official

Name
Mrs. Jane B Oyler, PTA
Title
Owner
Phone
(608) 372-0800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X WI Primary

Addresses

Primary practice location

430 Julie St
Tomah, WI 54660-2924

Mailing address

PO Box 825
Tomah, WI 54660-0825
Phone (608) 372-0800

Other identifiers 1

IdentifierTypeStateIssuer
41807500MedicaidWI

National Provider Directory

National Provider Directory

Locations

430 Julie St
Tomah, WI 54660
Phone (608) 372-0800

430 Julie St
#825
Tomah, WI 54660

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452729600000",
    "number": "1386763399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 825",
            "city": "TOMAH",
            "state": "WI",
            "postal_code": "546600825",
            "telephone_number": "608-372-0800",
            "fax_number": "608-372-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 JULIE ST",
            "city": "TOMAH",
            "state": "WI",
            "postal_code": "546602924",
            "telephone_number": "608-372-0800",
            "fax_number": "608-372-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOMAH THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2016-01-14",
        "status": "A",
        "authorized_official_last_name": "OYLER",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-372-0800",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41807500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomah, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.