Jody Rae Patscot, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

760-019 Issued in WI

Practice address

2512 New Pine Dr
Altoona, WI 54720-1378

Phone

(715) 833-0400

Fax

(715) 833-0397

NPI assigned

May 4, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659583334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 NEW PINE DR",
            "city": "ALTOONA",
            "state": "WI",
            "postal_code": "547201378",
            "telephone_number": "715-833-0400",
            "fax_number": "715-833-0397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 NEW PINE DR",
            "city": "ALTOONA",
            "state": "WI",
            "postal_code": "547201378",
            "telephone_number": "715-833-0400",
            "fax_number": "715-833-0397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATSCOT",
        "first_name": "JODY",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "760-019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40395500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Connor Gustav Olson, PA-C, LAT, ATC
• Oral and Maxillofacial Surgery Asso of Eau Claire SC
• Gina L. Ostrowski, PT
• Jose Abran Padilla, M.D.
• John Mathew Pakan, D.C.
• Katherine M Paulsen, MPAS, PA-C
• Tessa Pecha, PT
• Evan John Peissig, M.D.
• Angela M Pelehac, DDS, MSD
• Thomas Robert Pellatt, D.C.

• Physical Therapy Assistant in Altoona, WI
• Providers in Altoona, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.