Active NPI
Deborah K Loftus, PT, OCS
- Orthopedic Physical Therapist
- Germantown, WI
National Provider Identifier
1902863988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 2597-024
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40184200 | Medicaid | WI | |
| 2597-024 | Other | WI | PT 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2597-024 | WI | MD | Orthopedic Physical Therapist |
| 2597 | WI | MD | Physician 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.