Individual provider Active NPI

Michelle J Perlick, PT

  • Physical Therapist
  • Rice Lake, WI
National Provider Identifier
1104274240
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1051 West Ave
Rice Lake, WI 54868-4425
Phone
(715) 719-0662
NPI assigned
May 31, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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 Primary

Addresses

Primary practice location

1051 West Ave
Rice Lake, WI 54868-4425

Mailing address

PO Box 3497
Sturtevant, WI 53177-0300
Phone (715) 635-2518

Other practice location 1

2090 Woodwinds Dr Ste 100
Woodbury, MN 55125-2522
Phone (651) 968-5201

Other practice location 2

314 Service Rd
Spooner, WI 54801-6200
Phone (715) 635-2518

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rice Lake Physical Therapy and Rehab Specialists Physical Therapist CurrentSince Oct 16, 2017 Accepting new patients
Cumberland Memorial Hospital Inc Current Accepting new patients

Locations

1705 16th Ave
Cumberland, WI 54829
Phone (715) 822-7222

314 Service Rd
Spooner, WI 54801
Phone (715) 635-2518

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1104274240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3497",
            "city": "STURTEVANT",
            "state": "WI",
            "postal_code": "531770300",
            "telephone_number": "715-635-2518",
            "fax_number": "866-245-8064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 WEST AVE",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548684425",
            "telephone_number": "715-719-0662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2090 Woodwinds Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "MN",
            "postal_code": "551252522",
            "country_code": "US",
            "telephone_number": "651-968-5201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "314 Service Rd",
            "address_purpose": "LOCATION",
            "city": "Spooner",
            "state": "WI",
            "postal_code": "548016200",
            "country_code": "US",
            "telephone_number": "715-635-2518",
            "fax_number": "866-245-8064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERLICK",
        "first_name": "MICHELLE",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-31",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rice Lake, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.