Individual provider Active NPI

Michael P Wenzel, PT

  • Physical Therapist
  • Stevens Point, WI
National Provider Identifier
1770922700
Registry record updated Aug 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12398-24 Issued in WI
Practice address
3500 Hoover Rd
Stevens Point, WI 54481-5600
Phone
(715) 342-7900
NPI assigned
Jun 24, 2013
Last updated
Aug 8, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2013

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 12398-24 WI Primary

Addresses

Primary practice location

3500 Hoover Rd
Stevens Point, WI 54481-5600

Mailing address

3500 Hoover Rd
Stevens Point, WI 54481-5600

Other identifiers 1

IdentifierTypeStateIssuer
12398OtherWIWI STATE LIC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210208000440 WI Practitioner - Physical Therapist in Private Practice 3971917733 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince May 1, 2022 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Feb 29, 2024 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. CurrentSince Jan 4, 2021 Accepting new patients
Aspirus Medical Group, Inc. Current Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Feb 29, 2024 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Jan 4, 2021 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

2401 Plover Rd
Plover, WI 54467
Phone (715) 259-3800

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-3000

2957 Church St
Stevens Point, WI 54481
Phone (715) 345-1447

3500 Hoover Rd
Stevens Point, WI 54481
Phone (715) 342-7900

900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

190 Grand Seasons Dr
Waupaca, WI 54981
Phone (715) 258-3401

4005 Community Center Dr
Weston, WI 54476
Phone (715) 241-5400

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375920000000",
    "number": "1770922700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 HOOVER RD",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544815600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 HOOVER RD",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544815600",
            "telephone_number": "715-342-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENZEL",
        "first_name": "MICHAEL",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-24",
        "last_updated": "2013-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "12398-24",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WI STATE LIC",
            "identifier": "12398",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevens Point, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; 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.