Active NPI
Rianne Patacsil
- Physical Therapist
- Antigo, WI
National Provider Identifier
1811340839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13640-24
- Practice address
- 933 6TH Ave
Antigo, WI 54409-1806 - Phone
- (715) 610-5774
- NPI assigned
- Jul 14, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 61683 | OR | |
| Physical Therapist | 225100000X | 13640-24 | WI | Primary |
Addresses
Primary practice location
933 6TH Ave
Antigo, WI 54409-1806
Mailing address
933 6TH Ave
Antigo, WI 54409-1806
Phone (715) 610-5774
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 |
|---|---|---|---|
| 61683 | OR | MD | Physical Therapist |
| 13640-24 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486944000000",
"number": "1811340839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "933 6TH AVE",
"city": "ANTIGO",
"state": "WI",
"postal_code": "544091806",
"telephone_number": "715-610-5774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "933 6TH AVE",
"city": "ANTIGO",
"state": "WI",
"postal_code": "544091806",
"telephone_number": "715-610-5774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATACSIL",
"first_name": "RIANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-14",
"last_updated": "2017-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "61683",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "13640-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Antigo, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.