Individual provider Active NPI

Karen S Rudiger, PT

  • Physical Therapist
  • Stevens Point, WI
National Provider Identifier
1770601221
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6151 Issued in WI
Practice address
1800 Sherman Ave
Stevens Point, WI 54481-7215
Phone
(715) 344-1800
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6151 WI Primary

Addresses

Primary practice location

1800 Sherman Ave
Stevens Point, WI 54481-7215

Mailing address

6903 Old Highway 18
Stevens Point, WI 54482-9155
Phone (715) 592-6963

Other identifiers 1

IdentifierTypeStateIssuer
6151OtherWIWI LICENSE #

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

State licenses

LicenseStateTypeSpecialty
6151WIMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369785600000",
    "number": "1770601221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6903 OLD HIGHWAY 18",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544829155",
            "telephone_number": "715-592-6963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SHERMAN AVE",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544817215",
            "telephone_number": "715-344-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDIGER",
        "first_name": "KAREN",
        "middle_name": "S",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2013-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "6151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WI LICENSE #",
            "identifier": "6151",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevens Point, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.