Marissa Marie Seibel, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

15564-24 Issued in WI

Practice address

1731 17TH Ave
Bloomer, WI 54724-1512

Phone

(715) 255-4626

Fax

(715) 568-4673

NPI assigned

Sep 10, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Marissa Vahlenkamp Former name

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midwest Physical Therapy IncGroup PAC ID 3375518202, 6 clinicians

Optimum Therapies, LLCGroup PAC ID 3375430028, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Midwest Physical Therapy, Inc

  • Physical Therapist
  • Bloomer, WI
  • NPI 1811015274
  Medicare reassignment Care Compare group NPD
• Optimum Therapies, LLC

  • Physical Medicine & Rehabilitation Physician
  • Menomonie, WI
  • NPI 1356463087
  Medicare reassignment Care Compare group
• Optimum Therapies, LLC

  • Physical Therapy Clinic/Center
  • Chippewa Falls, WI
  • NPI 1275498016

  Physical Therapist

  NPD
• Optimum Therapies, LLC

  • Physical Therapy Clinic/Center
  • Eau Claire, WI
  • NPI 1740279611

  Physical Therapist

  NPD

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1114696390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 E CLAIREMONT AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016479",
            "telephone_number": "715-855-0430",
            "fax_number": "715-855-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 17TH AVE",
            "city": "BLOOMER",
            "state": "WI",
            "postal_code": "547241512",
            "telephone_number": "715-255-4626",
            "fax_number": "715-568-4673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "703 Lakeland Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Chippewa Falls",
            "state": "WI",
            "postal_code": "547291629",
            "country_code": "US",
            "telephone_number": "715-227-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEIBEL",
        "first_name": "MARISSA",
        "middle_name": "MARIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-10",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "15564-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISSA",
            "last_name": "VAHLENKAMP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samantha Sackman
• Christine A Schindler, PTA
• Autumn Schlichting
• Molly R Schull, PT, DPT
• Ann Marie Seibel
• Meghan Lea Shadick, M.S., CRC, LPC-IT
• Michael E Shipman, PA-C
• Phillip J Skaar, MD
• Abrahm Skaw, DC
• Emily Sleik

• Physical Therapist in Bloomer, WI
• Providers in Bloomer, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; 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.