Individual provider Active NPI

Michael Verplancke

  • Physical Therapist
  • Grafton, WI
National Provider Identifier
1285654061
Registry record updated Apr 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1235 Dakota Dr
Suite K
Grafton, WI 53024-9477
Phone
(262) 376-2085
Fax
(262) 376-5156
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2010

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 Primary

Addresses

Primary practice location

1235 Dakota Dr
Suite K
Grafton, WI 53024-9477

Mailing address

6908 N Santa Monica Blvd
Fox Point, WI 53217-3942
Phone (414) 352-2082

Other identifiers 1

IdentifierTypeStateIssuer
40463200MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050805000621 WI Practitioner - Physical Therapist in Private Practice 2668401076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Freedom Physical Therapy Services SCGroup PAC ID 8224938113, 29 clinicians

Practice addresses (Care Compare)

1235 Dakota Dr
Suite L
Grafton, WI 53024-9477
Phone (262) 376-2085

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom Physical Therapy Services SC Physical Therapist CurrentSince Jun 27, 2005 Accepting new patients

Locations

17495 W Capitol Dr
Ste I
Brookfield, WI 53045
Phone (262) 790-9800

1235 Dakota Dr
Ste L
Grafton, WI 53024
Phone (262) 376-2085

6908 N Santa Monica Blvd
Milwaukee, WI 53217
Phone (414) 352-2082

111 Atkinson St
Ste 2
Mukwonago, WI 53149
Phone (262) 363-3268

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271203200000",
    "number": "1285654061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6908 N SANTA MONICA BLVD",
            "city": "FOX POINT",
            "state": "WI",
            "postal_code": "532173942",
            "telephone_number": "414-352-2082",
            "fax_number": "414-352-5279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 DAKOTA DR",
            "address_2": "SUITE K",
            "city": "GRAFTON",
            "state": "WI",
            "postal_code": "530249477",
            "telephone_number": "262-376-2085",
            "fax_number": "262-376-5156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERPLANCKE",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2010-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40463200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grafton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; 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.