Individual provider Active NPI

Rachel Wojta

  • Physical Therapist
  • Oregon, WI
National Provider Identifier
1487004669
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13410-24 Issued in WI
Practice address
990 Janesville St
Oregon, WI 53575-2954
Phone
(608) 835-5373
NPI assigned
Jun 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 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 13410 WI
Physical Therapist 225100000X 13410-24 WI Primary

Addresses

Primary practice location

990 Janesville St
Oregon, WI 53575-2954

Mailing address

900 Ridge St
Stoughton, WI 53589-1864

Other practice location 1

707 S University Ave
Beaver Dam, WI 53916-3027
Phone (920) 887-7181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
13410WIMDPhysical Therapist
13410-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stoughton Hospital Association PastSince Nov 13, 2022 Accepting new patients
Stoughton Hospital Association PastSince Nov 13, 2022 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1466121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1487004669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 RIDGE ST",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "535891864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 JANESVILLE ST",
            "city": "OREGON",
            "state": "WI",
            "postal_code": "535752954",
            "telephone_number": "608-835-5373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 S University Ave",
            "address_purpose": "LOCATION",
            "city": "Beaver Dam",
            "state": "WI",
            "postal_code": "539163027",
            "country_code": "US",
            "telephone_number": "920-887-7181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOJTA",
        "first_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-17",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "13410",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "13410-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.