Katie Van Scyoc, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10696-24 Issued in WI

Practice address

116 N Main St
Shawano, WI 54166-2356

Phone

(715) 526-7370

Fax

(715) 526-7294

NPI assigned

Jul 30, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and Rehabilitation

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Womens Care of Wisconsin SCGroup PAC ID 3072416601, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Women'S Care of Wisconsin S.C.

  • Obstetrics & Gynecology Physician
  • Neenah, WI
  • NPI 1003811993
  Medicare reassignment Care Compare group NPD
• Theda Clark OB Hospitalists SC

  • Obstetrics & Gynecology Physician
  • Neenah, WI
  • NPI 1295510196
  NPD (past)

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

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248912000000",
    "number": "1619108222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 N MAIN ST",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541662356",
            "telephone_number": "715-526-7370",
            "fax_number": "715-526-7294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 N MAIN ST",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541662356",
            "telephone_number": "715-526-7370",
            "fax_number": "715-526-7294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN SCYOC",
        "first_name": "KATIE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-30",
        "last_updated": "2009-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "10696-24",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36121600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madelyn Elaine Valentine, RDN
• Valley Urologic Associates, SC
• Valley Urologic Associates, SC
• Tracy Van Ert
• Erin M Van Oss, PHD, NCSP
• Alexis Vandehey
• Megan Marie Vanswol, RBT
• Ron Vecchie
• Carissa Ann Verhasselt
• Verkuilen Family Chiropractic, LLC

• Physical Therapist in Shawano, WI
• Providers in Shawano, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.