Active NPI
Denise Vavra, P.T.
- Physical Therapist
- Lake Geneva, WI
National Provider Identifier
1770824856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4526-24
- Practice address
- 800 Geneva Pkwy N
Suite 3
Lake Geneva, WI 53147-5701 - Phone
- (262) 248-9902
- NPI assigned
- Mar 14, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4526-24 | WI | Primary |
Addresses
Primary practice location
800 Geneva Pkwy N
Suite 3
Lake Geneva, WI 53147-5701
Mailing address
S67W29571 County Road I
Mukwonago, WI 53149-9717
Phone (262) 968-2303
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4526-24 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hand Rehabilitation Services | Past | Accepting new patients | |
| Lakes Area Physical Therapy, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Lake Geneva, WI
- NPI 1588845804
-
- Hand Occupational Therapist
- Bradenton, FL
- NPI 1205874278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363219200000",
"number": "1770824856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "S67W29571 COUNTY ROAD I",
"city": "MUKWONAGO",
"state": "WI",
"postal_code": "531499717",
"telephone_number": "262-968-2303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 GENEVA PKWY N",
"address_2": "SUITE 3",
"city": "LAKE GENEVA",
"state": "WI",
"postal_code": "531475701",
"telephone_number": "262-248-9902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAVRA",
"first_name": "DENISE",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-14",
"last_updated": "2013-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "4526-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Geneva, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.