Individual provider Active NPI

Deborah K Loftus, PT, OCS

  • Orthopedic Physical Therapist
  • Germantown, WI
National Provider Identifier
1902863988
Registry record updated Sep 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
2597-024 Issued in WI
Practice address
W156N11072 Pilgrim Rd
Germantown, WI 53022-4247
Phone
(262) 251-0340
Fax
(262) 502-1384
NPI assigned
Apr 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 2597-024 WI Primary

Addresses

Primary practice location

W156N11072 Pilgrim Rd
Germantown, WI 53022-4247

Mailing address

W156N11072 Pilgrim Rd
Germantown, WI 53022-4247
Phone (262) 251-0340

Other identifiers 2

IdentifierTypeStateIssuer
40184200MedicaidWI
2597-024OtherWIPT LICENSE #

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

LicenseStateTypeSpecialty
2597-024WIMDOrthopedic Physical Therapist
2597WIMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314835200000",
    "number": "1902863988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W156N11072 PILGRIM RD",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530224247",
            "telephone_number": "262-251-0340",
            "fax_number": "262-502-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W156N11072 PILGRIM RD",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530224247",
            "telephone_number": "262-251-0340",
            "fax_number": "262-502-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOFTUS",
        "first_name": "DEBORAH",
        "middle_name": "K",
        "credential": "PT, OCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2011-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WI",
            "license": "2597-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40184200",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE #",
            "identifier": "2597-024",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.