Active NPI
Ryan Keith Clausen, DPT
- Orthopedic Physical Therapist
- Janesville, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 11759-24
- Practice address
- 557 N Washington St
Janesville, WI 53548-2907 - Phone
- (608) 754-6000
- Fax
- (608) 755-7892
- NPI assigned
- Jun 21, 2011
- Last updated
- Mar 17, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070-020349 | IL | |
| Orthopedic Physical Therapist | 2251X0800X | 11759-24 | WI | Primary |
Addresses
Primary practice location
557 N Washington St
Janesville, WI 53548-2907
Mailing address
557 N Washington St
Janesville, WI 53548-2907
Phone (608) 754-6000
Other practice location 1
324 Roxbury Rd
Rockford, IL 61107-5090
Phone (815) 381-7431
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427344134 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070-020349 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health System Corporation | Current | Accepting new patients |
Locations
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868
Interoperability endpoints
- rclausen45713@direct.mhemail.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba MHS Physician Services
- Multi-Specialty Clinic/Center
- Janesville, WI
- NPI 1598718603
-
dba Mercy Hospital Janesville
- General Acute Care Hospital
- Janesville, WI
- NPI 1093768962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1427344134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "557 N WASHINGTON ST",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535482907",
"telephone_number": "608-754-6000",
"fax_number": "608-755-7892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "557 N WASHINGTON ST",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535482907",
"telephone_number": "608-754-6000",
"fax_number": "608-755-7892"
}
],
"practiceLocations": [
{
"address_1": "324 Roxbury Rd",
"address_purpose": "LOCATION",
"city": "Rockford",
"state": "IL",
"postal_code": "611075090",
"country_code": "US",
"telephone_number": "815-381-7431",
"fax_number": "815-381-7498",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLAUSEN",
"first_name": "RYAN",
"middle_name": "KEITH",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-21",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070-020349",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "WI",
"license": "11759-24",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1427344134",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Janesville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.