Individual provider Active NPI

Tracy L. Kiener, PT

  • Physical Therapist
  • Stevens Point, WI
National Provider Identifier
1124177894
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4188-024 Issued in WI
Practice address
5412 Hwy 10 East
Stevens Point, WI 54481
Phone
(715) 346-5243
Fax
(715) 346-5419
NPI assigned
Jan 10, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 4188-024 WI Primary

Addresses

Primary practice location

5412 Hwy 10 East
Stevens Point, WI 54481

Mailing address

5412 Hwy 10 East
Stevens Point, WI 54481
Phone (715) 346-5243

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220823000151 WI Practitioner - Physical Therapist in Private Practice 3870976913 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4188-024WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince May 10, 2022 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince May 10, 2022 Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince May 10, 2022 Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince May 10, 2022 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince May 10, 2022 Accepting new patients
Aspirus Medical Group, Inc. Current Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince May 10, 2022 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince May 10, 2022 Accepting new patients
Aspirus Wausau Hospital, Inc. Current Accepting new patients
Aspirus Medical Group, Inc. CurrentSince May 10, 2022 Accepting new patients
Aspirus Medical Group, Inc. Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318

3333 E Main St
Merrill, WI 54452
Phone (715) 539-5600

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

3500 Hoover Rd
Stevens Point, WI 54481
Phone (715) 342-7900

900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

6951 S Michigan St
Three Lakes, WI 54562
Phone (715) 546-2543

401 W Mohawk Dr
Tomahawk, WI 54487
Phone (715) 453-7200

401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700

190 Grand Seasons Dr
Waupaca, WI 54981
Phone (715) 258-3401

1901 Westwood Center Blvd
Wausau, WI 54401
Phone (715) 355-9573

2720 Plaza Dr
Ste 1400A
Wausau, WI 54401
Phone (715) 847-0426

333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160

4005 Community Center Dr
Weston, WI 54476
Phone (715) 241-5400

Organizations & group practices 12

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124177894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5412 HWY 10 EAST",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "54481",
            "telephone_number": "715-346-5243",
            "fax_number": "715-346-5419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5412 HWY 10 EAST",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "54481",
            "telephone_number": "715-346-5243",
            "fax_number": "715-346-5419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIENER",
        "first_name": "TRACY",
        "middle_name": "L.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "4188-024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevens Point, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.