Individual provider Active NPI

Lindsey Rae Theis, PT

  • Physical Therapist
  • Colby, WI
National Provider Identifier
1437534765
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14021-24 Issued in WI
Practice address
120 Dehne Dr Ste Abc
Colby, WI 54421-9589
Phone
(715) 223-6442
Fax
(715) 223-2447
NPI assigned
Jul 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10021 MN
Physical Therapist 225100000X 14021-24 WI Primary

Addresses

Primary practice location

120 Dehne Dr Ste Abc
Colby, WI 54421-9589

Mailing address

120 Dehne Dr Ste Abc
Colby, WI 54421-9589
Phone (715) 223-6442

Other practice location 1

1901 Connecticut Ave S
Sartell, MN 56377-2554
Phone (320) 259-4100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180514000730 WI Practitioner - Physical Therapist in Private Practice 3476860420 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Minnesota Medical School, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCHS Hospitals Inc 1,195 clinicians

Practice addresses (Care Compare)

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

120 Dehne Dr
Colby, WI 54421-9589
Phone (715) 223-6442

200 E Upham St
Marshfield, WI 54449-1543
Phone (715) 387-1818

212 E Upham St
Marshfield, WI 54449-1543
Phone (715) 221-8760

Merit-based Incentive Payment System (MIPS)

Final score
80.58 of 100Reported as group
Quality
55.5
Promoting interoperability
100
Improvement activities
40
Cost
71.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10021MNMDPublic Health Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
MCHS Hospitals Inc CurrentSince May 14, 2018 Accepting new patients
MCHS Hospitals Inc CurrentSince Aug 14, 2022 Accepting new patients
Marshfield Clinic Inc CurrentSince May 14, 2018 Accepting new patients
MCHS Hospitals Inc CurrentSince May 14, 2018 Accepting new patients
Memorial Hospital Inc Past Accepting new patients

Locations

120 Dehne Dr
Colby, WI 54421
Phone (715) 223-4003

120 Dehne Dr
Ste Abc
Colby, WI 54421
Phone (715) 223-6442

120 Dehne Dr
Ste A
Colby, WI 54421
Phone (715) 223-6442

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

Organizations & group practices 5

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": "1438041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1437534765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 DEHNE DR STE ABC",
            "city": "COLBY",
            "state": "WI",
            "postal_code": "544219589",
            "telephone_number": "715-223-6442",
            "fax_number": "715-223-2447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 DEHNE DR STE ABC",
            "city": "COLBY",
            "state": "WI",
            "postal_code": "544219589",
            "telephone_number": "715-223-6442",
            "fax_number": "715-223-2447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 Connecticut Ave S",
            "address_purpose": "LOCATION",
            "city": "Sartell",
            "state": "MN",
            "postal_code": "563772554",
            "country_code": "US",
            "telephone_number": "320-259-4100",
            "fax_number": "320-257-5523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THEIS",
        "first_name": "LINDSEY",
        "middle_name": "RAE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-28",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "10021",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "14021-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colby, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; 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.