Physical Therapy Center SC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2172024 Issued in WI

Legal business name

PHYSICAL THERAPY CENTER SC

Practice address

111 Thompson Pkwy
Saint Croix Falls, WI 54024-0851

Phone

(715) 483-9221

Fax

(715) 483-1743

NPI assigned

Jun 10, 2005

Last updated

Aug 7, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Roger K Branes, PT

Title

Owner Physical Therapist

Phone

(715) 483-9221

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cynthia J Dupuis, PT

  • Physical Therapist
  • Luck, WI
  • NPI 1750385548
  NPD (past)
• Geraldine Merth, PT

  • Physical Therapist
  • Amery, WI
  • NPI 1376639591
  NPD (past)

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375833600000",
    "number": "1710981436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 851",
            "city": "SAINT CROIX FALLS",
            "state": "WI",
            "postal_code": "540240851",
            "telephone_number": "715-483-9221",
            "fax_number": "715-483-1743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 THOMPSON PKWY",
            "city": "SAINT CROIX FALLS",
            "state": "WI",
            "postal_code": "540240851",
            "telephone_number": "715-483-9221",
            "fax_number": "715-483-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY CENTER SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-10",
        "last_updated": "2013-08-07",
        "status": "A",
        "authorized_official_last_name": "BRANES",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "715-483-9221",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "2172024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40423600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle R Panik, PA-C
• Abigail Kathleen Peterson
• Janet R Peterson, N.P.
• Lindsey Peterson
• Phillip E Petrowitz, PTA
• Lucas Pineda Bernal, M.D.
• Jennifer L Rader, M.D.
• Jessica Rose Rasmussen, PHARM.D
• Danielle K Redburn, DPM
• River Valley Pharmacy Inc (River Valley Pharmacy)

• Physical Therapist in Saint Croix Falls, WI
• Providers in Saint Croix Falls, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.

Verify at the official NPI Registry.