Active NPI
Holly S Dlugopolski, PT, DPT
- Physical Therapist
- Wausau, WI
National Provider Identifier
1700359486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 14632-24
- Practice address
- 2400 Marshall St
Suite B
Wausau, WI 54403 - Phone
- (715) 848-4300
- NPI assigned
- Jan 6, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 34428 | FL | |
| Physical Therapist | 225100000X | 14632-24 | WI | Primary |
| Physical Therapist | 225100000X | PT026945 | PA | |
| Physical Therapist | 225100000X | PTH8986 | AL | |
| Physical Therapist | 225100000X | PTL.0015751 | CO |
Addresses
Primary practice location
2400 Marshall St
Suite B
Wausau, WI 54403
Mailing address
6002 Pine Park St
Weston, WI 54476-3570
Phone (330) 703-3125
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH8986 | AL | MD | Physical Therapist |
| PTL.0015751 | CO | MD | Physical Therapist |
| 34428 | FL | MD | Physical Therapist |
| PT026945 | PA | MD | Physical Therapist |
| 14632-24 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Human Services Board Serving North Central Health Care Facility | Past | Accepting new patients | |
| RG-Rhinelander, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba North Central Health Care Youth Behavioral Health Hospital
- Psychiatric Hospital
- Wausau, WI
- NPI 1932714292
-
dba Rennes Health & Rehab Center - Rhinelander
- Skilled Nursing Facility
- Rhinelander, WI
- NPI 1407164312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1700359486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6002 PINE PARK ST",
"city": "WESTON",
"state": "WI",
"postal_code": "544763570",
"telephone_number": "330-703-3125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 MARSHALL ST",
"address_2": "SUITE B",
"city": "WAUSAU",
"state": "WI",
"postal_code": "54403",
"telephone_number": "715-848-4300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DLUGOPOLSKI",
"first_name": "HOLLY",
"middle_name": "S",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-06",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "34428",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "14632-24",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT026945",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH8986",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL.0015751",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wausau, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.