Jessica E Erickson-Michels, DPT
Individual provider Active NPI Physical Therapist · Bloomer, WI
NPI 1336344985 · NPPES record last updated May 7, 2024
Key facts
- NPI
- 1336344985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 10817-024 (WI)
- Practice address
- 3075 155TH Ave
Bloomer, WI 54724-3945 - Phone
- (715) 202-4097
- NPI assigned
- Jun 15, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3075 155TH Ave
Bloomer, WI 54724-3945
Phone (715) 204-4097
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080617000326 | WI | Practitioner - Physical Therapist in Private Practice | 8527139682 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10817-024 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Star Therapy Services LLC | Physical Therapist | Current |
Accepting new patients |
| Midwest Physical Therapy, Inc | Physical Therapist | Past |
Accepting new patients |
Locations
2449 County Highway I
Chippewa Fls, WI 54729
Phone (715) 204-4050
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10817-024 | WI | Yes |
Addresses
Primary practice location
3075 155TH Ave
Bloomer, WI 54724-3945
Mailing address
3075 155TH Ave
Bloomer, WI 54724-3945
Phone (715) 202-4097
Other names
- Jessica E Erickson
Other providers in Bloomer, WI
- Wendy Dahleen
- Janelle Dahlka
- Scott Davis
- Nancy Deboe
- Terry Ellis
- Abbie Fischer
- Flynn Chiropractic, LLC
- Sarah Katherine Frank
- Kathryn Ann Freagon
- Ilabeth Frei
All providers in Bloomer, WI · 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 May 7, 2024. 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.