Rebecca Anne Lucarelli, DPT – Physical Therapist

Key facts

NPI: 1962009290
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapist 225100000X
License: 15261-24 (WI)
Practice address: 416 E Verona Ave
Verona, WI 53593-1227
Phone: (608) 848-6628
NPI assigned: Oct 9, 2020
Sex: Female
Sole proprietor: No

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.

Capitol Physical Therapy LLC Physical Therapist · Verona, WI · NPI 1104846542

NPD PHYSICAL THERAPIST

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
15261-24	WI	MD	Physical Therapist

Practice roles

Organization	Specialty	Status	New patients
Capitol Physical Therapy LLC	Physical Therapist	Current since Sep 19, 2017	Accepting new patients

Locations

1215 Springdale St
Mount Horeb, WI 53572
Phone (608) 437-0222

416 E Verona Ave
Verona, WI 53593
Phone (608) 848-6628

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapist	225100000X	15261-24	WI	Yes

Addresses

Primary practice location

416 E Verona Ave
Verona, WI 53593-1227

Mailing address

PO Box 720908
Norman, OK 73070-4708
Phone (405) 809-8713

Other providers in Verona, WI

All providers in Verona, 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 Oct 9, 2020. 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.

Verify at the official NPI Registry.