Active NPI
Empower Physical Therapy, LLC
- Physical Therapist
- Rice Lake, WI
National Provider Identifier
1730808700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- EMPOWER PHYSICAL THERAPY, LLC
- Practice address
- 1801 W Knapp St Ste 1
Rice Lake, WI 54868-1381 - Phone
- (715) 201-8883
- NPI assigned
- Aug 24, 2022
- Last updated
- Aug 30, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephanie Erickson
- Title
- Physical Therapist/Owner
- Phone
- (715) 416-1909
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
1801 W Knapp St Ste 1
Rice Lake, WI 54868-1381
Mailing address
2075 21 3/4 St
Rice Lake, WI 54868-3400
Phone (715) 416-1909
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | emr.optimis.com |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Physical Therapist
- Rice Lake, WI
- NPI 1003112400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661299200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661817600000",
"number": "1730808700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2075 21 3/4 ST",
"city": "RICE LAKE",
"state": "WI",
"postal_code": "548683400",
"telephone_number": "715-416-1909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 W KNAPP ST STE 1",
"city": "RICE LAKE",
"state": "WI",
"postal_code": "548681381",
"telephone_number": "715-201-8883"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMPOWER PHYSICAL THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-24",
"last_updated": "2022-08-30",
"certification_date": "2022-08-30",
"status": "A",
"authorized_official_last_name": "ERICKSON",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
"authorized_official_telephone_number": "715-416-1909"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "emr.optimis.com",
"affiliation": "N",
"address_1": "1801 W Knapp St Ste 1",
"city": "Rice Lake",
"state": "WI",
"country_code": "US",
"postal_code": "548681381",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rice Lake, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.