Active NPI
Michelle A Mueller
- Physical Therapy Assistant
- Rhinelander, WI
National Provider Identifier
1598860561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 591019
- Practice address
- 2251 N Shore Dr
Rhinelander, WI 54501-6710 - Phone
- (715) 361-2300
- Fax
- (715) 361-2877
- NPI assigned
- Sep 14, 2006
- 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 | 591019 | WI | Primary |
Addresses
Primary practice location
2251 N Shore Dr
Rhinelander, WI 54501-6710
Mailing address
6333 Sparks Rd
P.O. Box 882
Land O' Lakes, WI 54540
Phone (715) 617-5432
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40358800 | Medicaid | WI |
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 |
|---|---|---|---|
| 591019 | WI | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322006400000",
"number": "1598860561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6333 SPARKS RD",
"address_2": "P.O. BOX 882",
"city": "LAND O' LAKES",
"state": "WI",
"postal_code": "54540",
"telephone_number": "715-617-5432",
"fax_number": "715-545-2508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2251 N SHORE DR",
"city": "RHINELANDER",
"state": "WI",
"postal_code": "545016710",
"telephone_number": "715-361-2300",
"fax_number": "715-361-2877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUELLER",
"first_name": "MICHELLE",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-14",
"last_updated": "2011-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "WI",
"license": "591019",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40358800",
"state": "WI"
}
],
"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 Nov 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.