Rachelle N Sobczak, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2784 Issued in WI

Practice address

425 Summit St
Wild Rose, WI 54984-6804

Phone

(920) 662-4342

NPI assigned

Jun 13, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1992298046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 W WARREN ST",
            "city": "NEW LONDON",
            "state": "WI",
            "postal_code": "549612030",
            "telephone_number": "920-209-1935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 SUMMIT ST",
            "city": "WILD ROSE",
            "state": "WI",
            "postal_code": "549846804",
            "telephone_number": "920-662-4342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBCZAK",
        "first_name": "RACHELLE",
        "middle_name": "N",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-13",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "2784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn Annette Ringenoldus, APNP
• Timothy R Roberts, MD
• Rogers and Nelson Surgical Associates, S.C.
• Teresita Romana, MD
• Jill Seefeldt, RN
• Mark Michael Sobralske, L.AC
• Cynthia L Sroka, COTA
• Michael R Staudinger, MD
• Gilbert D. Steffanides, MD
• Tyler Steffensmeier, PT, DPT

• All providers in Wild Rose, WI
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; 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.