Lois L Flock, PTA
Individual provider Active NPI Physical Therapy Assistant · Sparta, WI
NPI 1881964229 · NPPES record last updated Feb 6, 2015
Key facts
- NPI
- 1881964229
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 798-19 (WI)
- Practice address
- 331 S Water St
Sparta, WI 54656-1726 - Phone
- (608) 366-6239
- NPI assigned
- Jan 3, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 798-19 | WI | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 798-19 | WI | Yes |
Addresses
Primary practice location
331 S Water St
Sparta, WI 54656-1726
Mailing address
331 S Water St
Sparta, WI 54656-1726
Phone (608) 366-6239
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 225200000X | Other | WI | PRIVATE INSURANCE |
Other providers in Sparta, WI
- Family & Childrens Center
- Austin W Feltner
- Ariel Dawn Ferdock
- Dawn Fitzmaurice
- Emma Rose Fleming
- John Douglas Frazee
- Rebecca Ann Frey
- Jacob Robert Graboski
- Gundersen Clinic, LTD.
- Gundersen Clinic, LTD.
All providers in Sparta, WI · Physical Therapy Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.