Active NPI
Andrew M. Severn, D.P.T.
- Physical Therapist
- La Crosse, WI
National Provider Identifier
1871977439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13024-24
- Practice address
- 700 West Ave S
La Crosse, WI 54601 - Phone
- (608) 785-0940
- NPI assigned
- Jul 14, 2015
- Sex
- Male
- 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 | 13024-24 | WI | Primary |
Addresses
Primary practice location
700 West Ave S
La Crosse, WI 54601
Mailing address
200 1St St SW
Rochester, MN 55905-0002
Phone (608) 795-0940
Other practice location 1
800 West Ave S
LA Crosse, WI 54601-8806
Phone (608) 785-4783
Other practice location 2
800 West Ave S
LA Crosse, WI 54601-8806
Phone (608) 785-4783
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | asevern27274@ehrdirect.mayoclinicmsg.org |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630627200000",
"number": "1871977439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 1ST ST SW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559050002",
"telephone_number": "608-795-0940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 WEST AVE S",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "54601",
"telephone_number": "608-785-0940"
}
],
"practiceLocations": [
{
"address_1": "800 West Ave S",
"address_purpose": "LOCATION",
"city": "LA Crosse",
"state": "WI",
"postal_code": "546018806",
"country_code": "US",
"telephone_number": "608-785-4783",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "800 West Ave S",
"address_purpose": "LOCATION",
"city": "LA Crosse",
"state": "WI",
"postal_code": "546018806",
"country_code": "US",
"telephone_number": "608-785-4783",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEVERN",
"first_name": "ANDREW",
"middle_name": "M.",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-14",
"last_updated": "2021-09-03",
"certification_date": "2021-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "13024-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "asevern27274@ehrdirect.mayoclinicmsg.org",
"affiliation": "N",
"address_1": "700 West Ave S",
"city": "LA Crosse",
"state": "WI",
"country_code": "US",
"postal_code": "54601",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in La Crosse, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.