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

Randall Roseen, PT

Individual provider Physical Therapist · NPI 1073957452

Randall Roseen, PT is a Physical Therapist in Private Practice in Rice Lake, Wisconsin. Qualified in 1994, 32 years ago. Practices with Lakeland Home Healthcare, a 4-clinician group. Licensed in Wisconsin.

Years since qualifying
32
Licensed in
WI
In the registry since
2013
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

1700 W Stout St
Rice Lake, WI 54868-5000
Phone: (715) 236-0753
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 4923-24 (WI)

Record details

NPI number1073957452
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedApril 29, 2013
Last updated in NPPESFebruary 18, 2016
Mailing address1700 W Stout St, Rice Lake, WI 54868-5000

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Lakeland Home Healthcare — 4 clinicians
Accepts Medicare assignment Not indicated

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