Individual provider Active NPI

Butch Terence D Geroy, PT

  • Physical Therapist
  • Ladysmith, WI
National Provider Identifier
1861790388
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11663-024 Issued in WI
Practice address
400 W 9TH St N Ste 4
Ladysmith, WI 54848-1264
Phone
(715) 717-7455
NPI assigned
Mar 8, 2011
Last updated
Dec 27, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11663-024 WI Primary

Addresses

Primary practice location

400 W 9TH St N Ste 4
Ladysmith, WI 54848-1264

Mailing address

S1097 Westland Dr
Spring Valley, WI 54767-8273
Phone (715) 778-5576

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bgeroy109841@ewd.direct.hshs.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110810000032 WI Practitioner - Physical Therapist in Private Practice 1557530417 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.81 of 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11663-024WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
MCHS Hospitals Inc Current Accepting new patients
MCHS Hospitals Inc CurrentSince Jul 9, 2019 Accepting new patients
Mercy Health System Corporation CurrentSince Mar 1, 2026 Accepting new patients
Mercy Health System Corporation CurrentSince Mar 1, 2026 Accepting new patients
Marshfield Clinic Inc CurrentSince Jul 9, 2019 Accepting new patients
MCHS Hospitals Inc CurrentSince Jul 9, 2019 Accepting new patients
Midwest Physical Therapy Physical Therapist Past Accepting new patients

Locations

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

900 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 717-4121

906 College Ave W
Ladysmith, WI 54848
Phone (715) 532-2300

N2950 State Road 67
Lake Geneva, WI 53147
Phone (262) 245-0535

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

N2846 State Road 67
Williams Bay, WI 53191
Phone (262) 245-5608

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1861790388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "S1097 WESTLAND DR",
            "city": "SPRING VALLEY",
            "state": "WI",
            "postal_code": "547678273",
            "telephone_number": "715-778-5576",
            "fax_number": "715-778-5574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W 9TH ST N STE 4",
            "city": "LADYSMITH",
            "state": "WI",
            "postal_code": "548481264",
            "telephone_number": "715-717-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEROY",
        "first_name": "BUTCH TERENCE",
        "middle_name": "D",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-08",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "11663-024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bgeroy109841@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "400 W 9th St N Ste 4",
            "city": "Ladysmith",
            "state": "WI",
            "country_code": "US",
            "postal_code": "548481264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ladysmith, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.