Jacob Monfils, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

17738-24 Issued in WI

Practice address

212 E Green Bay St Ste a
Shawano, WI 54166-2472

Phone

(715) 526-5221

Fax

(715) 526-2542

NPI assigned

May 28, 2026

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Physical Therapy and Sports Medicine SCGroup PAC ID 2365432903, 62 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Advanced Physical Therapy & Sports Medicine SC

  • Physical Medicine & Rehabilitation Physician
  • Appleton, WI
  • NPI 1407857790

  Single Specialty

  Medicare reassignment Care Compare group NPD (past)

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

{
    "created_epoch": "1779926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1699606566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 E ENTERPRISE AVE STE 113",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549137862",
            "telephone_number": "920-991-2561",
            "fax_number": "920-991-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 E GREEN BAY ST STE A",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541662472",
            "telephone_number": "715-526-5221",
            "fax_number": "715-526-2542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "270 N Main St",
            "address_purpose": "LOCATION",
            "city": "Clintonville",
            "state": "WI",
            "postal_code": "549291104",
            "country_code": "US",
            "telephone_number": "715-526-5221",
            "fax_number": "715-526-2542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONFILS",
        "first_name": "JACOB",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-05-28",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "17738-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan George Menos, O.D.
• Damon Michael Metoxen
• Alexis Lillian Michonski
• Avari Miller, DC
• Jeffrey Lee Minikel, MD
• Elizabeth A Montour, MSW
• Abraham Gerald Morris
• Tammy Marie Mott-Hoffman, LPC
• Fue Xeng Moua, OTR
• John A. Mueller, LCSW

• 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 May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.