Individual provider Active NPI

Gerad Donahue, DPT

  • Physical Therapist
  • Grand Chute, WI
National Provider Identifier
1013398510
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13601-24 Issued in WI
Practice address
5000 W Champion Dr Ste 113
Grand Chute, WI 54913-5000
Phone
(920) 560-1123
Fax
(920) 202-3535
NPI assigned
Jun 11, 2015
Last updated
Jul 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 13601-24 WI Primary

Addresses

Primary practice location

5000 W Champion Dr Ste 113
Grand Chute, WI 54913-5000

Mailing address

2105 E Enterprise Ave Ste 113
Appleton, WI 54913-7862
Phone (920) 991-2561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220526001550 WI Practitioner - Physical Therapist in Private Practice 6901112044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5000 W Champion Dr
Appleton, WI 54913-5000
Phone (920) 560-1123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Physical Therapy & Sports Medicine SC Physical Therapist CurrentSince Oct 17, 2022 Accepting new patients
Advanced Physical Therapy & Sports Medicine SC Physical Therapist CurrentSince Oct 17, 2022 Accepting new patients

Locations (25 of 27)

3841 10th St
Menominee, MI 49858
Phone (906) 352-4033

1100 E South River St
Appleton, WI 54915
Phone (920) 832-6760

1640 N Casaloma Dr
Appleton, WI 54913
Phone (920) 560-1147

2105 E Enterprise Ave
Appleton, WI 54913
Phone (920) 560-1000

2105 E Enterprise Ave
Ste 113
Appleton, WI 54913
Phone (920) 560-1083

218 E Lawrence St
Appleton, WI 54911

2851 E Apple Creek Rd
Appleton, WI 54913

W3124 Van Roy Rd
Appleton, WI 54915
Phone (920) 730-2747

270 N Main St
Clintonville, WI 54929
Phone (715) 526-5221

5000 W Champion Dr
Grand Chute, WI 54913
Phone (920) 560-1123

5000 W Champion Dr
#110
Grand Chute, WI 54913
Phone (920) 560-1123

5000 W Champion Dr
Ste 113
Grand Chute, WI 54913
Phone (920) 560-1123

124 Siegler St
Green Bay, WI 54303
Phone (920) 494-9661

2223 Lime Kiln Rd
Green Bay, WI 54311
Phone (920) 430-4770

W6931 School Rd
Greenville, WI 54942
Phone (920) 757-9820

1200 Flightway Dr
Hobart, WI 54115
Phone (920) 425-7140

225 W Kennedy Ave
Kimberly, WI 54136

1931 Marinette Ave
Marinette, WI 54143
Phone (715) 735-5500

110 W North Water St
Neenah, WI 54956
Phone (920) 215-6225

145 N Commercial St
Ste 100
Neenah, WI 54956
Phone (920) 215-6225

1370 N Shawano St
Ste A
New London, WI 54961
Phone (920) 531-1100

324 Washington Ave
Oshkosh, WI 54901
Phone (920) 305-7910

3303 W 20th Ave
Oshkosh, WI 54904
Phone (920) 305-7910

402 Eureka St
Ripon, WI 54971
Phone (920) 560-1000

212 E Green Bay St
Ste A
Shawano, WI 54166
Phone (715) 521-5226

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1013398510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 E ENTERPRISE AVE STE 113",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549137862",
            "telephone_number": "920-991-2561",
            "fax_number": "920-991-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 W CHAMPION DR STE 113",
            "city": "GRAND CHUTE",
            "state": "WI",
            "postal_code": "549135000",
            "telephone_number": "920-560-1123",
            "fax_number": "920-202-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONAHUE",
        "first_name": "GERAD",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-11",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "13601-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Chute, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.