Whitney Bird
Individual provider Active NPI Physical Therapist · Portage, WI
NPI 1629623681 · NPPES record last updated Feb 18, 2022
Key facts
- NPI
- 1629623681
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 13313 (WI)
- Practice address
- 2815 New Pinery Rd
Portage, WI 53901-9257 - Phone
- (608) 745-6290
- Fax
- (698) 745-6250
- NPI assigned
- Aug 7, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13313 | WI | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 13313 | WI | Yes |
Addresses
Primary practice location
2815 New Pinery Rd
Portage, WI 53901-9257
Mailing address
N140 4TH Ave
Westfield, WI 53964-8300
Phone (608) 445-9969
Other names
- Whitney Moll
Other providers in Portage, WI
- Caitlyn Rae Besch
- Maja Beyer
- Bindl Family Chiropractic, LLC
- Dana S Bindl
- Gregory Allan Bindl
- Renee Birkholz
- Jena M Bladl
- Blau Chiropractic SC
- Kevin A. Blau
- Brenda A Blohm
All providers in Portage, WI · Physical Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.