Individual provider Active NPI

James Gerard Rauzi, PT

  • Physical Therapist
  • Superior, WI
National Provider Identifier
1639115686
Registry record updated Feb 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4148-24 Issued in WI
Practice address
823 Belknap St
Suite 104
Superior, WI 54880-2960
Phone
(715) 394-6355
Fax
(715) 394-2191
NPI assigned
Jun 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4148-24 WI Primary

Addresses

Primary practice location

823 Belknap St
Suite 104
Superior, WI 54880-2960

Mailing address

823 Belknap St
Suite 104
Superior, WI 54880-2960
Phone (715) 394-6355

Other identifiers 1

IdentifierTypeStateIssuer
40192300MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070816000169 WI Practitioner - Physical Therapist in Private Practice 4587756879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Muscle and Joint Therapy IncGroup PAC ID 1355433640, 5 clinicians

Practice addresses (Care Compare)

823 Belknap St
Suite 104
Superior, WI 54880-2974
Phone (715) 394-6355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4148-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Muscle & Joint Therapy Inc Physical Therapist CurrentSince Sep 22, 2008 Accepting new patients

Locations

823 Belknap St
Ste 104
Superior, WI 54880
Phone (715) 394-6355

823 Belknap St
Ste 1
Superior, WI 54880

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.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518998400000",
    "number": "1639115686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 BELKNAP ST",
            "address_2": "SUITE 104",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548802960",
            "telephone_number": "715-394-6355",
            "fax_number": "715-394-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 BELKNAP ST",
            "address_2": "SUITE 104",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548802960",
            "telephone_number": "715-394-6355",
            "fax_number": "715-394-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUZI",
        "first_name": "JAMES",
        "middle_name": "GERARD",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2018-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "4148-24",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40192300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Superior, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2018; 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.

Verify at the official NPI Registry.