Organization Active NPI

Empower Physical Therapy, LLC

  • Physical Therapist
  • Rice Lake, WI
National Provider Identifier
1730808700
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Authorized official

Name
Stephanie EricksonNPI 1003112400
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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Other URL emr.optimis.com

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.