Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Edward Rothbauer, PT

Individual provider Physical Therapist · NPI 1104144518

Edward Rothbauer, PT is a Physical Therapist in Portage, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2010.

Licensed in
WI
In the registry since
2010
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

2639 New Pinery Rd Ste 2
Portage, WI 53901-1110
Phone: (608) 742-9356
Fax: (608) 742-9358
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Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 11435-24 (WI)

Record details

NPI number1104144518
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 10, 2010
Last updated in NPPESMay 10, 2010
Mailing address2639 New Pinery Rd, Suite 2, Portage, WI 53901-1110

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