Active NPI
Robert Clark Rhodes, MPT
- Geriatric Physical Therapist
- Oshkosh, WI
National Provider Identifier
1649490152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 3483-024
- Practice address
- 555 S Washburn St
Oshkosh, WI 54904-6710 - Phone
- (920) 236-3130
- Fax
- (920) 236-3128
- NPI assigned
- Apr 26, 2007
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3483-024 | WI | |
| Ergonomics Physical Therapist | 2251E1200X | 3483-024 | WI | |
| Geriatric Physical Therapist | 2251G0304X | 3483-024 | WI | Primary |
| Orthopedic Physical Therapist | 2251X0800X | 3483-024 | WI |
Addresses
Primary practice location
555 S Washburn St
Oshkosh, WI 54904-6710
Mailing address
1207 Snowdon Dr
Oshkosh, WI 54904-8860
Phone (920) 233-2519
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40181400 | Medicaid | WI |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3483-024 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1649490152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1207 SNOWDON DR",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549048860",
"telephone_number": "920-233-2519",
"fax_number": "920-236-3128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 S WASHBURN ST",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549046710",
"telephone_number": "920-236-3130",
"fax_number": "920-236-3128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHODES",
"first_name": "ROBERT",
"middle_name": "CLARK",
"name_prefix": "Mr.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-26",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "3483-024",
"primary": false
},
{
"code": "2251E1200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Ergonomics",
"state": "WI",
"license": "3483-024",
"primary": false
},
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "WI",
"license": "3483-024",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "WI",
"license": "3483-024",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40181400",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oshkosh, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.