Stacy Raaflaub

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1096-19 Issued in WI

Practice address

8274 E San Rd
South Range, WI 54874-8621

Phone

(715) 398-3523

NPI assigned

Nov 20, 2012

Last updated

Nov 20, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1353369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353369600000",
    "number": "1700120342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8274 E SAN RD",
            "city": "SOUTH RANGE",
            "state": "WI",
            "postal_code": "548748621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8274 E SAN RD",
            "city": "SOUTH RANGE",
            "state": "WI",
            "postal_code": "548748621",
            "telephone_number": "715-398-3523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAAFLAUB",
        "first_name": "STACY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-20",
        "last_updated": "2012-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "1096-19",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MN",
            "license": "A851",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer McGrath
• Middle River Rehabilitation LLC (Middle River Health and Rehabilitation Center)
• Rachel Larae Piotrowski
• Harly Prentice
• Heidi Catherine Puhl
• Denise Urbaniak
• Amy B Zembo

• Physical Therapy Assistant in South Range, WI
• Providers in South Range, 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 Nov 20, 2012; 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.