Individual provider Active NPI

Elizabeth J Wergin, DPT

  • Orthopedic Physical Therapist
  • Manitowoc, WI
National Provider Identifier
1518059302
Registry record updated Jul 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
6450-024 Issued in WI
Practice address
1011 S 10TH St Ste 104
Manitowoc, WI 54220-5209
Phone
(920) 320-9838
NPI assigned
Sep 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 6450-024 WI Primary

Addresses

Primary practice location

1011 S 10TH St Ste 104
Manitowoc, WI 54220-5209

Mailing address

1011 S 10TH St Ste 104
Manitowoc, WI 54220-5209
Phone (920) 320-9838

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

LicenseStateTypeSpecialty
6450-024WIMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Juniper Physical Therapy, LLC CurrentSince Jun 9, 2024 Accepting new patients

Locations

1011 S 10th St
Ste 104
Manitowoc, WI 54220
Phone (920) 320-9838

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1518059302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 S 10TH ST STE 104",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542205209",
            "telephone_number": "920-320-9838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 S 10TH ST STE 104",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542205209",
            "telephone_number": "920-320-9838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERGIN",
        "first_name": "ELIZABETH",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WI",
            "license": "6450-024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manitowoc, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; 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.