Active NPI
Ciara Doremus
- Physical Therapy Assistant
- Portage, WI
National Provider Identifier
1437099199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 4118-19
- Practice address
- 2815 New Pinery Rd
Portage, WI 53901-9257 - Phone
- (608) 745-6290
- NPI assigned
- Mar 31, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 4118-19 | WI | Primary |
Addresses
Primary practice location
2815 New Pinery Rd
Portage, WI 53901-9257
Mailing address
2815 New Pinery Rd
Portage, WI 53901-9257
Phone (608) 745-6290
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4118-19 | WI | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774915200000",
"number": "1437099199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2815 NEW PINERY RD",
"city": "PORTAGE",
"state": "WI",
"postal_code": "539019257",
"telephone_number": "608-745-6290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2815 NEW PINERY RD",
"city": "PORTAGE",
"state": "WI",
"postal_code": "539019257",
"telephone_number": "608-745-6290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOREMUS",
"first_name": "CIARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-03-31",
"last_updated": "2026-03-31",
"certification_date": "2026-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "WI",
"license": "4118-19",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portage, WI
- Divine Savior Healthcare, Inc. (Aspirus Divine Savior Hospital)
- Divine Savior Healthcare, Inc. (Aspirus Portage Clinic)
- Divine Savior Healthcare, Inc.
- Divine Savior Healthcare, Inc.
- Amy Lynn Doherty, D.O.
- Kathleen Doyle, MD
- Jessica Rose Dredske, DC
- DRS Elliott & Webb, S.C.
- Lynne Giacomino Dugolenski, M.A.,CCC/SLP
- Eas-Z Medical Transport LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.