Marissa Frances Gavioli, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1717924 Issued in WI

Practice address

225 Ostermann Dr
Turtle Lake, WI 54889-9011

Phone

(715) 986-2020

NPI assigned

May 16, 2025

Last updated

May 19, 2026By the provider in NPPES

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 names 1

• Marissa Frances White Former name

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St Croix Therapy Inc

  • Physical Therapist
  • Hudson, WI
  • NPI 1669672911
  Medicare reassignment NPD
• Cesa #11 Rural Health Dental Clinic

  • Dental Clinic/Center
  • Menomonie, WI
  • NPI 1730390840
  NPD (past)
• Cesa #11 Rural Health Dental Clinic

  • Dental Hygienist
  • Turtle Lake, WI
  • NPI 1942457932
  NPD (past)

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

{
    "created_epoch": "1747353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1689465783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 FOUNDERS GRN",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540167788",
            "telephone_number": "262-745-8149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 OSTERMANN DR",
            "city": "TURTLE LAKE",
            "state": "WI",
            "postal_code": "548899011",
            "telephone_number": "715-986-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "742 Sterbenz Dr",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "WI",
            "postal_code": "540168327",
            "country_code": "US",
            "telephone_number": "715-386-2128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAVIOLI",
        "first_name": "MARISSA",
        "middle_name": "FRANCES",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-16",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "1717924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISSA",
            "last_name": "WHITE",
            "middle_name": "FRANCES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dean M Springer Eyecare Inc (Springer Eyecare)
• Timothy J Deflorian, D.C.
• Kay Dorwin, PTA
• Kyra Mackenzie Engquist, PA-C
• Lisa Anne Erickson, APNP
• Clair Gille
• Melissa Joan Gunther, RDH
• John Avery Halberg, RPH
• Impact Rd Services LLC (IMPACT Wellness)
• James Pharmacy - Turtle Lake LTD (James Pharmacy LTD)

• Physical Therapist in Turtle Lake, WI
• Providers in Turtle Lake, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; 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.

Verify at the official NPI Registry.