Alexander Hiess, DPT
Individual provider Active NPI Physical Therapist · Osseo, WI
NPI 1780195362 · NPPES record last updated Aug 16, 2021
Key facts
- NPI
- 1780195362
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1381224 (WI)
- Practice address
- 13025 8TH St
Osseo, WI 54758 - Phone
- (715) 838-5222
- NPI assigned
- Oct 23, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180524000927 | WI | Practitioner - Physical Therapist in Private Practice | 1658636568 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1381224 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Current |
Accepting new patients | |
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Current | Accepting new patients | |
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Current |
Accepting new patients |
Locations
200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850
1400 Bellinger St
Eau Claire, WI 54703
Phone (715) 838-3311
733 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 838-3806
13025 8th St
Osseo, WI 54758
Phone (715) 597-2575
Interoperability endpoints
- ahiess23572@ehrdirect.mayoclinicmsg.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1381224 | WI | Yes |
Addresses
Primary practice location
13025 8TH St
Osseo, WI 54758
Mailing address
200 1St St SW
Rochester, MN 55905-0002
Phone (715) 838-5222
Other practice location 1
1400 Bellinger St
Eau Claire, WI 54703-5222
Phone (715) 838-5222
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ahiess23572@ehrdirect.mayoclinicmsg.org |
Other providers in Osseo, WI
- Bridget Kay Glomski
- Holly L Goetz
- Hailey Jo Grove
- Alyssa Emily Haan
- Kari Haas
- Shane Michael Huyser
- Sarah James
- Roger J Johnson
- Carin E. Keyes
- Courtney Marie Kloes
All providers in Osseo, WI · Physical Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.