Active NPI
Jillian Troxel, DPT
- Physical Therapist
- Lodi, WI
National Provider Identifier
1811550809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 14347
- Practice address
- 160 Valley Dr
Lodi, WI 53555-1464 - Phone
- (608) 592-3296
- NPI assigned
- Apr 16, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 14347 | WI | Primary |
| Physical Therapist | 225100000X | 4583 | IA |
Addresses
Primary practice location
160 Valley Dr
Lodi, WI 53555-1464
Mailing address
90 Oak St
Prairie Du Sac, WI 53578-1554
Phone (608) 643-7572
Other practice location 1
90 Oak St
Prairie Du Sac, WI 53578-1554
Phone (608) 643-7572
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 |
|---|---|---|---|
| 4583 | IA | MD | Physical Therapist |
| 14347 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sauk Prairie Healthcare Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Prairie Du Sac, WI
- NPI 1861466153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555372800000",
"number": "1811550809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 OAK ST",
"city": "PRAIRIE DU SAC",
"state": "WI",
"postal_code": "535781554",
"telephone_number": "608-643-7572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 VALLEY DR",
"city": "LODI",
"state": "WI",
"postal_code": "535551464",
"telephone_number": "608-592-3296"
}
],
"practiceLocations": [
{
"address_1": "90 Oak St",
"address_purpose": "LOCATION",
"city": "Prairie Du Sac",
"state": "WI",
"postal_code": "535781554",
"country_code": "US",
"telephone_number": "608-643-7572",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TROXEL",
"first_name": "JILLIAN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-16",
"last_updated": "2019-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "14347",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "4583",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lodi, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.