Blase William Strobl, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5817024 Issued in WI

Practice address

503 E Main St
Evansville, WI 53536-1131

Phone

(608) 882-9080

Fax

(608) 882-9081

NPI assigned

May 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Core Physical Therapy, LLCGroup PAC ID 4486842721, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Core Physical Therapy, LLC

  • Physical Therapist
  • Evansville, WI
  • NPI 1821308313
  Medicare reassignment Care Compare group NPD Authorized official
• Janesville Physical Therapy and Rehab Specialists, LLC

  • Physical Therapist
  • Janesville, WI
  • NPI 1760495964
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290124800000",
    "number": "1720031990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 E MAIN ST",
            "city": "EVANSVILLE",
            "state": "WI",
            "postal_code": "535361131",
            "telephone_number": "608-882-9080",
            "fax_number": "608-882-9081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 E MAIN ST",
            "city": "EVANSVILLE",
            "state": "WI",
            "postal_code": "535361131",
            "telephone_number": "608-882-9080",
            "fax_number": "608-882-9081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROBL",
        "first_name": "BLASE",
        "middle_name": "WILLIAM",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2010-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "5817024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40472600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob L Schoenenberger, OD
• Makenzie Schoenenberger
• Hannah Secker
• Lisa Shields
• Lisa Standish
• Kimberly Anne Tedesco, PT
• Kapil Thacker, DMD
• Ellen Thalacker
• The Grove Family Dental and TMJ Clinic, LLC
• Abbey Tway

• All providers in Evansville, WI
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.