Active NPI
Trevor J. Nebel
- Physical Therapist
- Appleton, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5969-024
- Practice address
- 1506 S Oneida St
Appleton, WI 54915-1305 - Phone
- (920) 738-2681
- NPI assigned
- May 3, 2007
- Last updated
- Jul 8, 2007
- 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 | 5969-024 | WI | Primary |
Addresses
Primary practice location
1506 S Oneida St
Appleton, WI 54915-1305
Mailing address
1506 S Oneida St
Appleton, WI 54915-1305
Phone (920) 738-2681
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40350600 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5969-024 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Howard Young Medical Center, Inc. | Current | Accepting new patients | |
| Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. | Current | Accepting new patients | |
| The Howard Young Medical Center, Inc. | Current | Accepting new patients | |
| Aspirus Eagle River Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Aspirus Eagle River Hospital, Inc. | Current | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
201 Hospital Rd
Eagle River, WI 54521
Phone (715) 477-3000
2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-3000
240 Maple St
Woodruff, WI 54568
Phone (715) 356-8000
Organizations & group practices 5
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 Aspirus Eagle River Hospital
- Critical Access Hospital
- Eagle River, WI
- NPI 1346204385
-
dba Aspirus Stevens Point Clinic - Illinois Avenue
- Clinic/Center
- Stevens Point, WI
- NPI 1144991340
-
- General Acute Care Hospital
- Woodruff, WI
- NPI 1184673352
-
dba Aspirus Eagle River Hospital
- Emergency Medicine Physician
- Eagle River, WI
- NPI 1699728915
-
dba Howard Young Medical Center
- General Acute Care Hospital
- Woodruff, WI
- NPI 1134183171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649482704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1506 S ONEIDA ST",
"city": "APPLETON",
"state": "WI",
"postal_code": "549151305",
"telephone_number": "920-738-2681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1506 S ONEIDA ST",
"city": "APPLETON",
"state": "WI",
"postal_code": "549151305",
"telephone_number": "920-738-2681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEBEL",
"first_name": "TREVOR",
"middle_name": "J.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "5969-024",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40350600",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.