Rybacki Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6001-24 Issued in WI

Legal business name

RYBACKI PHYSICAL THERAPY LLC

Practice address

528 214TH Ave
Somerset, WI 54025-7304

Phone

(715) 781-0265

NPI assigned

Apr 8, 2014

Organization subpart

No

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

Authorized official

Name

Amie Rebecca Rybacki, MPTNPI 1982796421

Title

Owner

Phone

(715) 781-0265

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amie R Rybacki, MPT

  • Physical Therapist
  • Somerset, WI
  • NPI 1982796421
  Medicare reassignment Care Compare group NPD Authorized official
• Anna Lucht

  • Physical Therapist
  • West Salem, WI
  • NPI 1114590221
  Medicare reassignment Care Compare group NPD
• Craig Sather, PT

  • Physical Therapist
  • Milwaukee, WI
  • NPI 1801050588
  Medicare reassignment NPD

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397001600000",
    "number": "1609295575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 214TH AVE",
            "city": "SOMERSET",
            "state": "WI",
            "postal_code": "540257304",
            "telephone_number": "715-781-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 214TH AVE",
            "city": "SOMERSET",
            "state": "WI",
            "postal_code": "540257304",
            "telephone_number": "715-781-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYBACKI PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-08",
        "last_updated": "2014-04-09",
        "status": "A",
        "authorized_official_last_name": "RYBACKI",
        "authorized_official_first_name": "AMIE",
        "authorized_official_middle_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-781-0265",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "6001-24",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41810700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• PDG, P.a.
• Tammy Lynn Prebish, RN
• Premier Chiropractic, Inc
• Christopher Arlen Rud, DC
• Kyle Ruhde, ATC
• Amie R Rybacki, MPT
• Anna Sophia Sande, PA-C
• Mikayla Sanocki
• Terri Marie Satersmoen, MS CCC-SLP
• Justin Scheierl, DPT

• Physical Therapist in Somerset, WI
• Providers in Somerset, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; 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.