Full Circle Therapy and Wellness LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

FULL CIRCLE THERAPY AND WELLNESS LLC

Practice address

1325 S Broadway
De Pere, WI 54115-8299

Phone

(920) 321-8366

NPI assigned

May 28, 2025

Last updated

Jun 4, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Denise Coppens

Title

Billing Manager

Phone

(920) 321-8366

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jill C Lyons, DPT

  • Physical Therapist
  • South Milwaukee, WI
  • NPI 1154480820
  Medicare reassignment Care Compare group NPD
• Timothy Trupke, PT, ATC

  • Physical Therapist
  • De Pere, WI
  • NPI 1124175872
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748995200000",
    "number": "1104619550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 S BROADWAY",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541158299",
            "telephone_number": "920-321-8366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 S BROADWAY",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541158299",
            "telephone_number": "920-321-8366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL CIRCLE THERAPY AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A",
        "authorized_official_last_name": "COPPENS",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "920-321-8366"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fresenius Medical Care Green Bay Dialysis, LLC (Fresenius Kidney Care Green Bay)
• Mary-Beth Friday, M.ED. CCC-SLP
• Sara Ann Friske
• James Gerard Fritsche, DDS
• Melanie E Froling, APNP
• Full Swing Fitness and Rehabilitation LLC
• Megan Fye, RBT
• Steven Gale, M.D.
• Laura Jean Gallistel, D.O.
• Justine Marie Garbaciak, M.S.

• Physical Therapist in De Pere, WI
• Providers in De Pere, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.