MIDWEST PHYSICAL THERAPY, INC (NPI# 1811015274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811015274 |
| Entity Type | Organization |
| Organization Name | MIDWEST PHYSICAL THERAPY, INC |
| Practice Address |
1731 17th Ave Bloomer WI 54724-1512 |
| Practice Telephone | 7155684669 |
| Practice Fax Number | 7155684673 |
| Mailing Telephone | 7155684669 |
| Mailing Fax Number | 7155684673 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2014-12-16 |
| Authorized Official Name | MR. JAMES PRICE (PHYSICAL THERAPIST OWNER) |
| Authorized Official Telephone | 7155684669 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 41224700 | 05 |
| Street Address |
1731 17TH AVE |
| City | BLOOMER |
| State | WI |
| Zip Code | 54724-1512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487289385 | Teresa Heifner | Occupational Therapy Assistant | 1731 17th Ave, Bloomer, WI 54724-1512 | 2020-03-11 |
| 1316579683 | Janelle Hutter | Speech-Language Pathologist | 1731 17th Ave, Bloomer, WI 54724-1512 | 2020-02-05 |
| 1194355198 | Sandra Sue Leuthe | Physical Therapy Assistant | 1731 17th Ave, Bloomer, WI 54724-1512 | 2020-01-19 |
| 1922647593 | Ilabeth Frei | Occupational Therapy Assistant | 1731 17th Ave, Bloomer, WI 54724-1512 | 2019-12-31 |
| 1720626278 | Kathryn Ann Freagon | Occupational Therapy Assistant | 1731 17th Ave, Bloomer, WI 54724-1512 | 2019-12-16 |
| 1508408576 | Erin Poynter | Occupational Therapy Assistant | 1731 17th Ave, Bloomer, WI 54724-1512 | 2019-10-11 |
| 1144871690 | Andrea Joleen Carter | Occupational Therapy Assistant | 1731 17th Ave, Bloomer, WI 54724-1512 | 2019-09-26 |
| 1861043556 | Courtney Dawn Kowalski | Occupational Therapy Assistant | 1731 17th Ave, Bloomer, WI 54724-1512 | 2019-09-24 |
| 1891345260 | Emily Court | Physical Therapy Assistant | 1731 17th Ave, Bloomer, WI 54724-1512 | 2019-09-17 |
| 1508410325 | Marie Konzen | Physical Therapy Assistant | 1731 17th Ave, Bloomer, WI 54724-1512 | 2019-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093064545 | Robin Lachance | Physical Therapy Assistant | 1731 17th Avenue, Bloomer, WI 54724 | 2012-08-30 |
| 1104051614 | Nancy L Stiehm | Home Health Aide | 721 Priddy St, Bloomer, WI 54724 | 2009-05-28 |
| 1508013566 | Dianne Marie Goettl | Reflexologist | 1610 Main Street, Bloomer, WI 54724 | 2008-08-21 |
| 1609956481 | Timothy John Peterson | Chiropractor | 10135 Hwy Ss, Bloomer, WI 54724 | 2006-10-16 |
| 1427058122 | Ronald J Reimer | Physician Assistant | 1501 Thompson St, Bloomer, WI 54724 | 2005-07-26 |
| 1851827752 | Kimberly Carol Nicolai | Physical Therapist | 1501 Thompson St, Bloomer, WI 54724 | 2017-05-11 |
| 1639430788 | Celestine Chukwunonso Odenigbo | Internal Medicine | 1501 Thompson St, Bloomer, WI 54724 | 2012-06-05 |
| 1124250436 | Tania Riske | Speech-Language Pathologist | 1501 Thompson St, Bloomer, WI 54724 | 2009-08-20 |
| 1922230259 | Amy Sue Hilbert | Speech-Language Pathologist | 1501 Thompson St, Bloomer, WI 54724 | 2009-08-20 |
| 1659527281 | Janki Natu Patel | Internal Medicine | 1501 Thompson St, Bloomer, WI 54724 | 2008-08-14 |
| Find all providers in zip 54724 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528627320 | Abbigail Ristow | Physical Therapist | 1501 Thompson St, Bloomer, WI 54724-1257 | 2019-06-06 |
| 1356827042 | Traci Rykal | Physical Therapist | 1731 17th Ave, Bloomer, WI 54724-1512 | 2018-07-16 |
| 1477060028 | Tracy Kampbell | Physical Therapist | 1731 17th Ave, Bloomer, WI 54724-1512 | 2018-01-04 |
| 1134630635 | Christopher Ryan Thewis | Physical Therapist | 1501 Thompson St, Bloomer, WI 54724-1257 | 2017-10-24 |
| 1306362827 | Laura Verbruggen | Physical Therapist | 1731 17th Ave, Bloomer, WI 54724-1512 | 2017-08-16 |
| 1851827752 | Kimberly Carol Nicolai | Physical Therapist | 1501 Thompson St, Bloomer, WI 54724 | 2017-05-11 |
| 1811440134 | Tyler Bosshart | Physical Therapist | 1731 17th Ave, Bloomer, WI 54724-1512 | 2016-08-03 |
| 1336491794 | Nick Cernohous | Physical Therapist | 1731 17th Ave, Bloomer, WI 54724-1512 | 2012-10-10 |
| 1437349768 | Wendy Raddenbach | Physical Therapist | 1402 Main St, Bloomer, WI 54724-1637 | 2007-08-01 |
| 1225244916 | Jessica Roseen | Physical Therapist | 1402 Main St, Bloomer, WI 54724-1637 | 2007-05-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.