Active NPI
Beth Marie Rossow, PT
- Physical Therapist
- Onalaska, WI
National Provider Identifier
1649393273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11422-024
- Practice address
- 191 Theatre Rd
Onalaska, WI 54650-8679 - Phone
- (608) 392-5004
- Fax
- (608) 392-5791
- NPI assigned
- Apr 9, 2007
- Sex
- Female
- 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 | 6422054-2401 | UT | |
| Physical Therapist | 225100000X | 11422-024 | WI | Primary |
Addresses
Primary practice location
191 Theatre Rd
Onalaska, WI 54650-8679
Mailing address
191 Theatre Rd
Onalaska, WI 54650-8679
Phone (608) 392-5004
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 |
|---|---|---|---|
| 6422054-2401 | UT | MD | Physical Therapist |
| 11422-024 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365984000000",
"number": "1649393273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 THEATRE RD",
"city": "ONALASKA",
"state": "WI",
"postal_code": "546508679",
"telephone_number": "608-392-5004",
"fax_number": "608-392-5791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 THEATRE RD",
"city": "ONALASKA",
"state": "WI",
"postal_code": "546508679",
"telephone_number": "608-392-5004",
"fax_number": "608-392-5791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSSOW",
"first_name": "BETH",
"middle_name": "MARIE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-09",
"last_updated": "2013-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "6422054-2401",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "11422-024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Onalaska, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.