Individual provider Active NPI

Stephanie Ann Dunlavy, DPT

  • Physical Therapist
  • La Crosse, WI
National Provider Identifier
1457088676
Registry record updated Aug 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15678 Issued in WI
Practice address
2575 7TH St S
La Crosse, WI 54601-5249
Phone
(608) 406-3900
NPI assigned
Aug 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2022

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 11918 MN
Physical Therapist 225100000X 15678 WI Primary

Addresses

Primary practice location

2575 7TH St S
La Crosse, WI 54601-5249

Mailing address

2575 7TH St S
La Crosse, WI 54601-5249
Phone (608) 406-3900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240424002108 WI Practitioner - Physical Therapist in Private Practice 5698115608 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11918MNMDPhysical Therapist
15678WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gundersen Clinic LTD CurrentSince Mar 18, 2024 Accepting new patients
Gundersen Lutheran Express Care, Inc CurrentSince Mar 18, 2024 Accepting new patients
Gundersen Clinic LTD Current Accepting new patients

Locations

1140 Main St
La Crosse, WI 54601
Phone (608) 519-5473

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

2575 7th St S
La Crosse, WI 54601
Phone (608) 406-3900

1600 Main St
Onalaska, WI 54650
Phone (608) 783-4681

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": "1659830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659830400000",
    "number": "1457088676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 7TH ST S",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015249",
            "telephone_number": "608-406-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 7TH ST S",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015249",
            "telephone_number": "608-406-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNLAVY",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-07",
        "last_updated": "2022-08-07",
        "certification_date": "2022-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "11918",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "15678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crosse, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2022; 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.