Individual provider Active NPI

Daniel G. Digman, P.T.

  • Physical Therapist
  • Fond Du Lac, WI
National Provider Identifier
1770515355
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3266-24 Issued in WI
Practice address
103 S Pioneer Rd # 100
Fond Du Lac, WI 54935-3871
Phone
(920) 922-7776
Fax
(920) 922-2938
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3266-24 WI Primary

Addresses

Primary practice location

103 S Pioneer Rd # 100
Fond Du Lac, WI 54935-3871

Mailing address

103 S. Pioneer Rd. #100
Fond Du Lac, WI 54935
Phone (920) 922-7776

Other identifiers 1

IdentifierTypeStateIssuer
40208500MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101103000958 WI Practitioner - Physical Therapist in Private Practice 3476519240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

103 S Pioneer Rd
Suite 100
Fond Du Lac, WI 54935-3800
Phone (920) 922-7776

1057 Fond Du Lac Ave
Kewaskum, WI 53040-9495
Phone (262) 626-6700

N8218 State Rd
Suite 28
Mayville, WI 53050-2126
Phone (920) 387-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Back in Action Rehabilitation, S.C. Physical Therapist CurrentSince May 1, 2010 Accepting new patients
Back in Action Rehabilitation S.C. Physical Therapist CurrentSince Apr 23, 1993 Accepting new patients
Back in Action Rehabilitation, S.C. Physical Therapist Past Accepting new patients

Locations

103 S Pioneer Rd
Ste 100
Fond du Lac, WI 54935
Phone (920) 922-7776

1057 Fond du Lac Ave
Kewaskum, WI 53040
Phone (262) 626-6700

N8218 State Road 28
Mayville, WI 53050
Phone (920) 387-9000

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.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770515355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 S. PIONEER RD. #100",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "54935",
            "telephone_number": "920-922-7776",
            "fax_number": "920-922-2938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S PIONEER RD # 100",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549353871",
            "telephone_number": "920-922-7776",
            "fax_number": "920-922-2938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGMAN",
        "first_name": "DANIEL",
        "middle_name": "G.",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "3266-24",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40208500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fond Du Lac, 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.
  • 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.