Rock Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

ROCK PHYSICAL THERAPY, LLC

Practice address

1325 S Rockwell St
Jefferson, WI 53549-2263

Phone

(920) 222-1807

NPI assigned

Jul 29, 2020

Organization subpart

No

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

Authorized official

Name

Ryan Baldry, PT, DPTNPI 1609835032

Title

Director

Phone

(920) 222-1807

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ryan Michael Baldry, PT, DPT

  • Physical Therapist
  • Jefferson, WI
  • NPI 1609835032
  Medicare reassignment NPD Authorized official
• Jolyn Ranae Baldry, PT

  • Physical Therapist
  • Ft Atkinson, WI
  • NPI 1295772358
  Medicare reassignment NPD

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597190400000",
    "number": "1992314579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 S ROCKWELL ST",
            "city": "JEFFERSON",
            "state": "WI",
            "postal_code": "535492263",
            "telephone_number": "920-222-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 S ROCKWELL ST",
            "city": "JEFFERSON",
            "state": "WI",
            "postal_code": "535492263",
            "telephone_number": "920-222-1807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCK PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-29",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "BALDRY",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "920-222-1807",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Restoring Balance Counseling LLC
• Jennifer Rhodes
• Christine Richards-Pagel, MSW, APSW
• Hannah L Riedl, CSW
• Jenna Riggs, CSW, SAC-IT
• Rock River Community Clinic Inc
• Rockwood Family Health LLC
• Thomas Gregory Rooker, D.D.S.
• Tonya Runyard, BA
• Michelle Rushton, MSW, LCSW

• Physical Therapy Clinic/Center in Jefferson, WI
• Providers in Jefferson, WI by specialty
• Physical Therapy Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.