Active NPI
Catherine W. Robertson, PT
- Physical Therapist
- Blair, WI
National Provider Identifier
1992984157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 703-024
- Practice address
- 104 N. Gilbert St.
Blair, WI 54616-0047 - Phone
- (608) 989-2661
- NPI assigned
- Oct 24, 2007
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 703-024 | WI | Primary |
Addresses
Primary practice location
104 N. Gilbert St.
Blair, WI 54616-0047
Mailing address
PO Box 47
104 N. Gilbert St.
Blair, WI 54616-0047
Phone (608) 989-2661
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40136400 | Medicaid | WI |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 703-024 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193184000000",
"number": "1992984157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 47",
"address_2": "104 N. GILBERT ST.",
"city": "BLAIR",
"state": "WI",
"postal_code": "546160047",
"telephone_number": "608-989-2661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 N. GILBERT ST.",
"city": "BLAIR",
"state": "WI",
"postal_code": "546160047",
"telephone_number": "608-989-2661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTSON",
"first_name": "CATHERINE",
"middle_name": "W.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-24",
"last_updated": "2007-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "703-024",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40136400",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Blair, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.