Active NPI
Daniel J Verhagen, D-PT
- Physical Therapist
- Green Bay, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13810-24
- Practice address
- 3263 Eaton Rd
Green Bay, WI 54311-6830 - Phone
- (920) 433-6700
- Fax
- (920) 433-6719
- NPI assigned
- Jun 13, 2017
- Last updated
- Feb 14, 2023
- Sex
- Male
- 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 Therapist | 225100000X | 13810-24 | WI | Primary |
Addresses
Primary practice location
3263 Eaton Rd
Green Bay, WI 54311-6830
Mailing address
PO Box 22487
Green Bay, WI 54305-2487
Phone (920) 445-7210
Other practice location 1
555 Quality Ct
Wrightstown, WI 54180-9006
Phone (920) 532-6320
Other practice location 2
820 Arbutus Ave
Oconto, WI 54153-2004
Phone (920) 835-1100
Other practice location 3
1970 S Ridge Rd
Green Bay, WI 54304-4125
Phone (920) 430-4888
Other practice location 4
723 S Wisconsin St
Pulaski, WI 54162-9303
Phone (920) 822-1100
Other practice location 5
2714 Riverview Dr
Green Bay, WI 54313-6715
Phone (920) 430-4760
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
744 S Webster Ave
Green Bay, WI 54301-3505
Phone (920) 433-6025
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13810-24 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bellin Memorial Hospital Inc | Physical Therapist | Current | Accepting new patients |
| Oconto Hospital & Medical Center Inc | Current | Accepting new patients | |
| Oconto Hospital & Medical Center Inc | Physical Therapist | Current | Accepting new patients |
| Oconto Hospital & Medical Center Inc | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Past | Accepting new patients |
Locations
2305 San Luis Pl
Green Bay, WI 54304
Phone (920) 494-2817
2714 Riverview Dr
Green Bay, WI 54313
Phone (920) 430-4760
3263 Eaton Rd
Green Bay, WI 54311
Phone (920) 433-6000
744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025
2820 Roosevelt Rd
Marinette, WI 54143
Phone (715) 330-6171
820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100
723 S Wisconsin St
Pulaski, WI 54162
Phone (920) 822-1100
555 Quality Ct
Wrightstown, WI 54180
Phone (920) 532-0700
Interoperability endpoints
- dverhagen179190@direct.thedacare.org
Organizations & group practices 7
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.
-
dba Bellin Health Algoma
- Rural Health Clinic/Center
- Algoma, WI
- NPI 1609838473
-
dba Emplify Health Oconto Hospital
- Critical Access Hospital
- Oconto, WI
- NPI 1356373302
-
dba Bellin Health
- Family Medicine Physician
- Green Bay, WI
- NPI 1033172390
Physical Therapist
-
dba Bellin Health Fast Care Marinette
- Family Medicine Physician
- Marinette, WI
- NPI 1881726529
-
dba Bellin Health Suring
- Rural Health Clinic/Center
- Suring, WI
- NPI 1104418037
-
dba Bellin Health
- Family Medicine Physician
- Oconto, WI
- NPI 1114579836
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676332800000",
"number": "1497285480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22487",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543052487",
"telephone_number": "920-445-7210",
"fax_number": "920-445-7289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3263 EATON RD",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543116830",
"telephone_number": "920-433-6700",
"fax_number": "920-433-6719"
}
],
"practiceLocations": [
{
"address_1": "555 Quality Ct",
"address_purpose": "LOCATION",
"city": "Wrightstown",
"state": "WI",
"postal_code": "541809006",
"country_code": "US",
"telephone_number": "920-532-6320",
"fax_number": "920-432-6269",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "820 Arbutus Ave",
"address_purpose": "LOCATION",
"city": "Oconto",
"state": "WI",
"postal_code": "541532004",
"country_code": "US",
"telephone_number": "920-835-1100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1970 S Ridge Rd",
"address_purpose": "LOCATION",
"city": "Green Bay",
"state": "WI",
"postal_code": "543044125",
"country_code": "US",
"telephone_number": "920-430-4888",
"fax_number": "920-430-4889",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "723 S Wisconsin St",
"address_purpose": "LOCATION",
"city": "Pulaski",
"state": "WI",
"postal_code": "541629303",
"country_code": "US",
"telephone_number": "920-822-1100",
"fax_number": "920-822-5731",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2714 Riverview Dr",
"address_purpose": "LOCATION",
"city": "Green Bay",
"state": "WI",
"postal_code": "543136715",
"country_code": "US",
"telephone_number": "920-430-4760",
"fax_number": "920-430-4774",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VERHAGEN",
"first_name": "DANIEL",
"middle_name": "J",
"credential": "D-PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-13",
"last_updated": "2023-02-14",
"certification_date": "2023-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "13810-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.