Katarzyna Baluta, P.T.
Individual provider Active NPI Physical Therapist · Sparta, WI
NPI 1902104102 · NPPES record last updated Mar 21, 2024
Key facts
- NPI
- 1902104102
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 12264 (WI)
- Practice address
- 310 W Main St
Sparta, WI 54656 - Phone
- (608) 269-1770
- NPI assigned
- Mar 11, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131231001683 | WI | Practitioner - Physical Therapist in Private Practice | 4981832698 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501015478 | MI | MD | Physical Therapist |
| 12264 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic Health System-Southwest Wisconsin Region, Inc. | Current |
Accepting new patients |
Locations
310 W Main St
Sparta, WI 54656
Phone (608) 269-1700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501015478 | MI | |
| Physical Therapist | 225100000X | 12264 | WI | Yes |
Addresses
Primary practice location
310 W Main St
Sparta, WI 54656
Mailing address
200 1St St SW
Rochester, MN 55905-0001
Phone (608) 785-0940
Other names
- Katarzyna Luce
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kluce26638@ehrdirect.mayoclinicmsg.org |
Other providers in Sparta, WI
- Mercedes Lynn Antolak
- Zachary C April
- Atlas Chiropractic Clinic SC
- Badgerland Emergency Medical Services
- Carly Jean Baker
- Rob N Bean
- Dennis Austin Paul Bernau
- Megan Berner
- Pauline J. Berra
- Matthew William Besch
All providers in Sparta, WI · Physical Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.