Active NPI
Thomas Rizzo, P.T.
- Physical Therapist
- Monona, WI
National Provider Identifier
1699816314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11627-24
- Practice address
- 1050 E Broadway
Monona, WI 53716-4023 - Phone
- (608) 890-6110
- Fax
- (608) 221-6250
- NPI assigned
- Feb 8, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11627-24 | WI | Primary |
| Orthopedic Physical Therapist | 2251X0800X | 11627-24 | WI | |
| Sports Physical Therapist | 2251S0007X | 11627-24 | WI |
Addresses
Primary practice location
1050 E Broadway
Monona, WI 53716-4023
Mailing address
1050 E Broadway
Monona, WI 53716-4023
Phone (608) 890-6110
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 |
|---|---|---|---|
| 11627-24 | WI | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452038400000",
"number": "1699816314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 E BROADWAY",
"city": "MONONA",
"state": "WI",
"postal_code": "537164023",
"telephone_number": "608-890-6110",
"fax_number": "608-221-6250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 E BROADWAY",
"city": "MONONA",
"state": "WI",
"postal_code": "537164023",
"telephone_number": "608-890-6110",
"fax_number": "608-221-6250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIZZO",
"first_name": "THOMAS",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-08",
"last_updated": "2016-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "11627-24",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "WI",
"license": "11627-24",
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "WI",
"license": "11627-24",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monona, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.