Active NPI
Michael Scott Lohse
- Physical Therapist
- Sparta, WI
National Provider Identifier
1902068463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10987-024
- Practice address
- 501 W Wisconsin St
Sparta, WI 54656-2332 - Phone
- (608) 269-0555
- NPI assigned
- Jun 26, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | 10987-024 | WI | Primary |
Addresses
Primary practice location
501 W Wisconsin St
Sparta, WI 54656-2332
Mailing address
501 W Wisconsin St
Sparta, WI 54656-2332
Phone (608) 269-0555
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10987-024 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovations Rehabilitation, SC | Physical Therapist | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214438400000",
"number": "1902068463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 W WISCONSIN ST",
"city": "SPARTA",
"state": "WI",
"postal_code": "546562332",
"telephone_number": "608-269-0555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 W WISCONSIN ST",
"city": "SPARTA",
"state": "WI",
"postal_code": "546562332",
"telephone_number": "608-269-0555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOHSE",
"first_name": "MICHAEL",
"middle_name": "SCOTT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-26",
"last_updated": "2008-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "10987-024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sparta, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.