Individual provider Active NPI

Danielle Marie Nesvik, DPT

  • Physical Therapist
  • Holmen, WI
National Provider Identifier
1487950572
Registry record updated Aug 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11919-24 Issued in WI
Practice address
106 S Holmen Dr Suite 2
Holmen, WI 54636
Phone
(608) 526-9888
Fax
(608) 526-9965
NPI assigned
Feb 7, 2011
Last updated
Aug 5, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2014

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 11919-24 WI Primary

Addresses

Primary practice location

106 S Holmen Dr Suite 2
Holmen, WI 54636

Mailing address

106 S Holmen Dr Suite 2
Holmen, WI 54636
Phone (608) 526-9888

Other names 1

  • Danielle Marie Miller Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
11919-24WIMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1297036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407196800000",
    "number": "1487950572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 S HOLMEN DR SUITE 2",
            "city": "HOLMEN",
            "state": "WI",
            "postal_code": "54636",
            "telephone_number": "608-526-9888",
            "fax_number": "608-526-9965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S HOLMEN DR SUITE 2",
            "city": "HOLMEN",
            "state": "WI",
            "postal_code": "54636",
            "telephone_number": "608-526-9888",
            "fax_number": "608-526-9965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESVIK",
        "first_name": "DANIELLE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-07",
        "last_updated": "2014-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "11919-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "MILLER",
            "middle_name": "MARIE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Holmen, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.