Kyle Micheal Gamoke, PT, DPT
Individual provider Active NPI Orthopedic Physical Therapist · Woodruff, WI
NPI 1144958968 · NPPES record last updated Aug 10, 2022
Key facts
- NPI
- 1144958968
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopedic Physical Therapist 2251X0800X
- Practice address
- 1446 1St Ave
Woodruff, WI 54568-9470 - Phone
- (715) 358-0610
- NPI assigned
- Aug 10, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tria Orthopaedic Center LLC
Practice addresses (Care Compare)
155 Radio Dr
Woodbury, MN 55125-2619
Phone (952) 831-8742
400 Wabasha St N
Suite 260
Saint Paul, MN 55102-1147
Phone (952) 831-8742
8100 Northland Dr
Bloomington, MN 55431-4800
Phone (952) 831-8742
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.58 of 100
- Quality
- 55.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.46
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WI, MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220922003492 | WI | Practitioner - Physical Therapist in Private Practice | 6608251905 | Reassigns benefits to 6 organizations |
| I20231026003401 | MN | Practitioner - Physical Therapist in Private Practice | 6608251905 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tria Orthopaedic Center LLC | Current |
Accepting new patients | |
| Flambeau Hospital Inc | Current |
Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current |
Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current |
Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current |
Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current |
Accepting new patients | |
| Memorial Hospital Inc | Current |
Accepting new patients | |
| Marshfield Clinic Inc | Current |
Accepting new patients | |
| Flambeau Hospital Inc | Current |
Accepting new patients | |
| Memorial Hospital Inc | Current |
Accepting new patients | |
| MCHS Hospitals Inc | Current |
Accepting new patients |
Locations
8100 Northland Dr
Minneapolis, MN 55431
Phone (952) 831-1626
705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090
3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111
1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399
9576 State Highway 70
Minocqua, WI 54548
Phone (715) 358-1000
N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101
1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133
1446 State Highway 47 E
Woodruff, WI 54568
Phone (715) 356-9999
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | Yes |
Addresses
Primary practice location
1446 1St Ave
Woodruff, WI 54568-9470
Mailing address
427 Morris St
Holmen, WI 54636-9740
Phone (608) 797-1465
Other practice location 1
9576 Wi-70
Mincoqua, WI 54548
Phone (715) 358-1710
Other providers in Woodruff, WI
- Syd Dale Foster
- Fresh Approach LLC
- Megan L. Fritz
- Judy L Fuller
- Zachary D. Furtak
- Michel P Gelinas
- Gonzalez Family Chiropractic LLC.
- Guillermo Eduardo Gonzalez
- Roger John Gorectke
- Mark W Grady
All providers in Woodruff, WI · Orthopedic Physical Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.