Active NPI
Rebecca Joanne Pratts, PT
- Physical Therapist
- Hudson, WI
National Provider Identifier
1780781104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9551
- Practice address
- 742 Sterbenz Dr
Hudson, WI 54016-8327 - Phone
- (715) 386-2128
- Fax
- (715) 386-6119
- NPI assigned
- Sep 20, 2006
- 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 Therapist | 225100000X | 9551 | WI | Primary |
Addresses
Primary practice location
742 Sterbenz Dr
Hudson, WI 54016-8327
Mailing address
742 Sterbenz Dr
Hudson, WI 54016-8327
Phone (715) 386-2128
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 173477600 | Medicaid | MN | |
| 641671046996 | Other | PREFERRED ONE | |
| 7037393 | Other | AETNA | |
| 40343500 | Medicaid | WI | |
| 9551 | Other | WI | WISCONSIN LICENSE |
| 98G47KN | Other | MN BCBS | |
| 15665 | Other | HEALTH PARTNERS | |
| 6401744 | Other | MEDICA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9551 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320710400000",
"number": "1780781104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "742 STERBENZ DR",
"city": "HUDSON",
"state": "WI",
"postal_code": "540168327",
"telephone_number": "715-386-2128",
"fax_number": "715-386-6119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "742 STERBENZ DR",
"city": "HUDSON",
"state": "WI",
"postal_code": "540168327",
"telephone_number": "715-386-2128",
"fax_number": "715-386-6119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRATTS",
"first_name": "REBECCA",
"middle_name": "JOANNE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2011-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "9551",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "173477600",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "641671046996",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7037393",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40343500",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WISCONSIN LICENSE",
"identifier": "9551",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MN BCBS",
"identifier": "98G47KN",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "15665",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "6401744",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Hudson, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.