Active NPI
Taylor L Wolf
- Physical Therapist
- Green Bay, WI
National Provider Identifier
1760222871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 16730
- Practice address
- 1970 S Ridge Rd
Green Bay, WI 54304-4125 - Phone
- (920) 430-4888
- NPI assigned
- May 28, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 16730 | WI | Primary |
Addresses
Primary practice location
1970 S Ridge Rd
Green Bay, WI 54304-4125
Mailing address
1544 Beachcomber Blvd
Waconia, MN 55387-1055
Phone (612) 518-8476
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
744 S Webster Ave
Green Bay, WI 54301-3505
Phone (920) 433-6025
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16730 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Physical Therapist | Current | Accepting new patients |
| Bellin Memorial Hospital Inc | Past | Accepting new patients |
Locations
744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025
1630 Commanche Ave
Green Bay, WI 54313
Phone (920) 430-4700
Interoperability endpoints
- twolf339878@direct.thedacare.org
Organizations & group practices 3
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.
-
- Rural Health Clinic/Center
- Algoma, WI
- NPI 1609838473
-
- Family Medicine Physician
- Green Bay, WI
- NPI 1033172390
Physical Therapist
-
- Family Medicine Physician
- Brillion, WI
- NPI 1962464784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716854400000",
"number": "1760222871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1544 BEACHCOMBER BLVD",
"city": "WACONIA",
"state": "MN",
"postal_code": "553871055",
"telephone_number": "612-518-8476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1970 S RIDGE RD",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543044125",
"telephone_number": "920-430-4888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLF",
"first_name": "TAYLOR",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-28",
"last_updated": "2024-05-28",
"certification_date": "2024-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "16730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.