Active NPI
Danielle Pauls, LPTA
- Physical Therapy Assistant
- Muscoda, WI
National Provider Identifier
1770908493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2119-19
- Practice address
- 1000 N Wisconsin Ave
Muscoda, WI 53573-9115 - Phone
- (608) 739-3186
- Fax
- (608) 739-3486
- NPI assigned
- Mar 4, 2014
- Last updated
- Feb 6, 2019
- Sex
- Female
- Sole proprietor
- No
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 Therapy Assistant | 225200000X | 2119-19 | WI | Primary |
Addresses
Primary practice location
1000 N Wisconsin Ave
Muscoda, WI 53573-9115
Mailing address
703 Don Jon LN
Avoca, WI 53506-9625
Phone (608) 475-4462
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 |
|---|---|---|---|
| 2119-19 | WI | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549411200000",
"number": "1770908493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "703 DON JON LN",
"city": "AVOCA",
"state": "WI",
"postal_code": "535069625",
"telephone_number": "608-475-4462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 N WISCONSIN AVE",
"city": "MUSCODA",
"state": "WI",
"postal_code": "535739115",
"telephone_number": "608-739-3186",
"fax_number": "608-739-3486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAULS",
"first_name": "DANIELLE",
"credential": "LPTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-04",
"last_updated": "2019-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "WI",
"license": "2119-19",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Muscoda, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.