Active NPI
Thomas Wilhau Karls Niehaus, P.T.A.
- Physical Therapy Assistant
- Dodgeville, WI
National Provider Identifier
1699014225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 479-19
- Practice address
- 3151 County Road CH
Dodgeville, WI 53533-9108 - Phone
- (608) 935-3321
- NPI assigned
- Feb 1, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 479-19 | WI | Primary |
Addresses
Primary practice location
3151 County Road CH
Dodgeville, WI 53533-9108
Mailing address
4094 Keewatin TRL
Verona, WI 53593-8605
Phone (608) 833-2340
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 |
|---|---|---|---|
| 479-19 | WI | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359676800000",
"number": "1699014225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4094 KEEWATIN TRL",
"city": "VERONA",
"state": "WI",
"postal_code": "535938605",
"telephone_number": "608-833-2340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3151 COUNTY ROAD CH",
"city": "DODGEVILLE",
"state": "WI",
"postal_code": "535339108",
"telephone_number": "608-935-3321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARLS NIEHAUS",
"first_name": "THOMAS",
"middle_name": "WILHAU",
"credential": "P.T.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-02-01",
"last_updated": "2013-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "WI",
"license": "479-19",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dodgeville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.