Steven Wayne Kubisiak, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13349 Issued in WI

Practice address

140 24TH St S
Wisconsin Rapids, WI 54494-1906

Phone

(715) 424-1881

NPI assigned

Jul 11, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wisconsin River Orthopaedics, LTD.Group PAC ID 4880607431, 18 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.

• Wisconsin River Orthopaedics, LTD.

  • Orthopaedic Surgery Physician
  • Wisconsin Rapids, WI
  • NPI 1144274390
  Medicare reassignment Care Compare group NPD
• Marshfield Clinic Inc

  • Clinic/Center
  • Marshfield, WI
  • NPI 1952347981
  Medicare reassignment NPD

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468195200000",
    "number": "1225480478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 FALCON CT",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544942640",
            "telephone_number": "715-572-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 24TH ST S",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544941906",
            "telephone_number": "715-424-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBISIAK",
        "first_name": "STEVEN",
        "middle_name": "WAYNE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-11",
        "last_updated": "2016-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "13349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Krueger, MPH, NBC-HWC
• Brooke Kruppe
• Heather Krzykowski, R.N.
• Eric Kubik, FNP
• London Kubisiak, MS, CF-SLP
• Andrea Marie Kukla, APSW
• Olivia Kunze, RD, CD
• Wesley M. Kurszewski, PT
• Michelle Kathleen Kyle
• Mary F Ladick, DC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; 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.