Provider Demographics
NPI:1245969260
Name:BEILFUSS, RACHEL NICOLE (PT, DPT)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:NICOLE
Last Name:BEILFUSS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3635 S POPLAR RD
Mailing Address - Street 2:
Mailing Address - City:NEW BERLIN
Mailing Address - State:WI
Mailing Address - Zip Code:53151-5227
Mailing Address - Country:US
Mailing Address - Phone:262-844-7681
Mailing Address - Fax:
Practice Address - Street 1:115 OAKDALE DR UNIT 8
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NC
Practice Address - Zip Code:27278-9080
Practice Address - Country:US
Practice Address - Phone:984-215-6533
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-06
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI15831-242251X0800X
NCP21614225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic