Active NPI
Cathy A Waeckerle, P.T.
- Physical Therapist
- Rhinelander, WI
National Provider Identifier
1700970217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1880 N.Stevens St.
Rhinelander, WI 54501-0646 - Phone
- (715) 369-0462
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- Sole proprietor
- No
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 Therapist | 225100000X | Primary |
Addresses
Primary practice location
1880 N.Stevens St.
Rhinelander, WI 54501-0646
Mailing address
1880 N. Stevens St.
Rhinelander, WI 54501-0646
Phone (715) 369-0462
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40120400 | 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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Center of Rhinelander, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Rhinelander, WI
- NPI 1295803286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700970217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1880 N. STEVENS ST.",
"city": "RHINELANDER",
"state": "WI",
"postal_code": "545010646",
"telephone_number": "715-369-0462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1880 N.STEVENS ST.",
"city": "RHINELANDER",
"state": "WI",
"postal_code": "545010646",
"telephone_number": "715-369-0462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAECKERLE",
"first_name": "CATHY",
"middle_name": "A",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40120400",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rhinelander, WI
Sources for this page
- 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.