Individual provider Active NPI

Joseph Schilz, PT, DPT

  • Physical Therapist
  • Verona, WI
National Provider Identifier
1174009120
Registry record updated Mar 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14816 Issued in WI
Practice address
1049 N Edge TRL
Verona, WI 53593-1942
Phone
(608) 845-2100
NPI assigned
Jul 12, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11211 MN
Physical Therapist 225100000X 14816 WI Primary

Addresses

Primary practice location

1049 N Edge TRL
Verona, WI 53593-1942

Mailing address

302 Samuel Dr Apt 331
Madison, WI 53717-2238
Phone (414) 305-3690

Other practice location 1

5101 County Road 101
Minnetonka, MN 55345-4163
Phone (952) 512-5400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210202002625 WI Practitioner - Physical Therapist in Private Practice 9234480393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Life Physical Therapy and Sports Medicine IncGroup PAC ID 2567413339, 8 clinicians

Practice addresses (Care Compare)

2639 New Pinery Rd
Suite 2
Portage, WI 53901-1110
Phone (608) 742-9356

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Life Physical Therapy & Sports Medicine, Inc. Physical Therapist CurrentSince Oct 7, 2020 Accepting new patients

Locations

840 State Road 136
Ste 3
Baraboo, WI 53913
Phone (608) 356-2334

2639 New Pinery Rd
Ste 2
Portage, WI 53901
Phone (608) 742-9356

215 N Pioneer Park Rd
Westfield, WI 53964

215 W Pioneer Park Rd
Westfield, WI 53964
Phone (608) 742-9356

Organizations & group practices 1

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": "1531353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1174009120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 SAMUEL DR APT 331",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537172238",
            "telephone_number": "414-305-3690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 N EDGE TRL",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535931942",
            "telephone_number": "608-845-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5101 County Road 101",
            "address_purpose": "LOCATION",
            "city": "Minnetonka",
            "state": "MN",
            "postal_code": "553454163",
            "country_code": "US",
            "telephone_number": "952-512-5400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHILZ",
        "first_name": "JOSEPH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-12",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "11211",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "14816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Verona, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; 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.