Individual provider Active NPI

Charity Landskron

  • Physical Therapist
  • Marshfield, WI
National Provider Identifier
1427448984
Registry record updated Feb 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12811-24 Issued in WI
Practice address
209 Wilderness View Dr
Marshfield, WI 54449-8357
Phone
(715) 389-6468
NPI assigned
Feb 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12811-24 WI Primary

Addresses

Primary practice location

209 Wilderness View Dr
Marshfield, WI 54449-8357

Mailing address

209 Wilderness View Dr
Marshfield, WI 54449-8357
Phone (715) 389-6468

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241210003908 WI Practitioner - Physical Therapist in Private Practice 1557897865 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12811-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Wausau Hospital Inc CurrentSince Oct 14, 2024 Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Oct 14, 2024 Accepting new patients
Aspirus Wausau Hospital, Inc. Current Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423008000000",
    "number": "1427448984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 WILDERNESS VIEW DR",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544498357",
            "telephone_number": "715-389-6468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 WILDERNESS VIEW DR",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544498357",
            "telephone_number": "715-389-6468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDSKRON",
        "first_name": "CHARITY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-04",
        "last_updated": "2015-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "12811-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; 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.

Verify at the official NPI Registry.