Individual provider Active NPI

Benjamin J Wales, DPT

  • Physical Therapist
  • Rhinelander, WI
National Provider Identifier
1346806346
Registry record updated May 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14622-24 Issued in WI
Practice address
2003 E Winnebago St
Rhinelander, WI 54501-8876
Phone
(888) 843-1367
NPI assigned
May 15, 2019
Last updated
May 15, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2019

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 14622-24 WI Primary

Addresses

Primary practice location

2003 E Winnebago St
Rhinelander, WI 54501-8876

Mailing address

2003 E Winnebago St
Rhinelander, WI 54501-8876
Phone (888) 843-1367

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220622001470 WI Practitioner - Physical Therapist in Private Practice 6709265796 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sokaogon Chippewa CommunityGroup PAC ID 1759370869, 13 clinicians
Health in Motion, LLCGroup PAC ID 1153311972, 26 clinicians

Practice addresses (Care Compare)

3144 Vanzile Rd
Crandon, WI 54520-8149
Phone (715) 478-5180

528 Hwy 70 W E
Eagle River, WI 54521
Phone (715) 477-1523

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14622-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sokaogon Chippewa Community CurrentSince Oct 7, 2025 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Mar 12, 2022 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Mar 12, 2022 Accepting new patients
Health in Motion, LLC Physical Therapist CurrentSince Nov 3, 2023 Accepting new patients
Health in Motion of Wisconsin, LLC Physical Therapist PastSince Jun 1, 2017 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

720 Ackley St
Antigo, WI 54409
Phone (715) 623-2292

3144 Vanzile Rd
Crandon, WI 54520
Phone (715) 478-5180

400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318

204 N Central Ave
Marshfield, WI 54449
Phone (715) 384-9703

500 S Center Ave
Merrill, WI 54452
Phone (715) 722-1101

2003 E Winnebago St
Rhinelander, WI 54501
Phone (715) 361-2300

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-3000

586 Shepard St
Rhinelander, WI 54501
Phone (715) 365-5256

401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700

930 S 17th Ave
Wausau, WI 54401
Phone (715) 870-2225

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73753

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1346806346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 E WINNEBAGO ST",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545018876",
            "telephone_number": "888-843-1367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 E WINNEBAGO ST",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545018876",
            "telephone_number": "888-843-1367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALES",
        "first_name": "BENJAMIN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-15",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "14622-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rhinelander, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; 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.