Active NPI
Paul F Reuteman, PT
- Physical Therapist
- La Crosse, WI
National Provider Identifier
1629072004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4622
- Practice address
- 800 West Ave S
La Crosse, WI 54601-8806 - Phone
- (608) 785-0940
- NPI assigned
- Jun 13, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5710 | MN | |
| Physical Therapist | 225100000X | 4622 | WI | Primary |
Addresses
Primary practice location
800 West Ave S
La Crosse, WI 54601-8806
Mailing address
PO Box 1510
Eau Claire, WI 54702-1510
Phone (715) 838-3635
Other practice location 1
3111 Gundersen Dr
Onalaska, WI 54650-8447
Phone (608) 782-7300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40226900 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
230 Pine St
La Crosse, WI 54601-3481
Phone (608) 668-2103
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4622 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Viaro Professional Arts LTD Health Care | Current | Accepting new patients | |
| Viaro LLC | Current | Accepting new patients | |
| Weber Health Logistics, LLC | Past | Accepting new patients |
Locations
230 Pine St
La Crosse, WI 54601
Phone (608) 668-2103
333 Front St N
Ste 700
La Crosse, WI 54601
Interoperability endpoints
- paul.reuteman.1@29082.direct.athenahealth.com
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.
-
- General Practice Physician
- La Crosse, WI
- NPI 1669199907
-
- General Practice Physician
- La Crosse, WI
- NPI 1609515865
-
- Health Service Clinic/Center
- La Crosse, WI
- NPI 1184234163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1629072004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1510",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547021510",
"telephone_number": "715-838-3635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 WEST AVE S",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546018806",
"telephone_number": "608-785-0940"
}
],
"practiceLocations": [
{
"address_1": "3111 Gundersen Dr",
"address_purpose": "LOCATION",
"city": "Onalaska",
"state": "WI",
"postal_code": "546508447",
"country_code": "US",
"telephone_number": "608-782-7300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REUTEMAN",
"first_name": "PAUL",
"middle_name": "F",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-13",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "5710",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "4622",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40226900",
"state": "WI"
}
],
"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 Jul 21, 2022; 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.