Active NPI
Paul T Verschaetse, DPT
- Physical Therapist
- Winona, MN
National Provider Identifier
1487139465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10057
- Practice address
- 111 Riverfront
Winona, MN 55987-3456 - Phone
- (507) 454-8700
- NPI assigned
- Sep 26, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10057 | MN | Primary |
Addresses
Primary practice location
111 Riverfront
Winona, MN 55987-3456
Mailing address
1836 South Ave
La Crosse, WI 54601-5494
Phone (608) 782-7300
Other practice location 1
619 6th St W
Park Rapids, MN 56470-1301
Phone (218) 732-3329
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10057 | MN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gundersen Lutheran Medical Center, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Emplify Health Hospice
- Community Based Hospice Care Agency
- La Crosse, WI
- NPI 1013943893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560988800000",
"number": "1487139465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1836 SOUTH AVE",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546015494",
"telephone_number": "608-782-7300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 RIVERFRONT",
"city": "WINONA",
"state": "MN",
"postal_code": "559873456",
"telephone_number": "507-454-8700"
}
],
"practiceLocations": [
{
"address_1": "619 6th St W",
"address_purpose": "LOCATION",
"city": "Park Rapids",
"state": "MN",
"postal_code": "564701301",
"country_code": "US",
"telephone_number": "218-732-3329",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VERSCHAETSE",
"first_name": "PAUL",
"middle_name": "T",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-09-26",
"last_updated": "2019-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "10057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winona, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.