Individual provider Active NPI

Tina M Wolfe, PT

  • Physical Therapist
  • Arbor Vitae, WI
National Provider Identifier
1790866267
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5523-024 Issued in WI
Practice address
11065 Old Hwy 51 N
Arbor Vitae, WI 54568-9721
Phone
(715) 356-3282
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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 5523-024 WI Primary

Addresses

Primary practice location

11065 Old Hwy 51 N
Arbor Vitae, WI 54568-9721

Mailing address

10181 Overlook LN
Hazelhurst, WI 54531-9599
Phone (715) 356-3282

Other practice location 1

7450 Titus Dr
Minocqua, WI 54548-9139
Phone (715) 356-5206

Other practice location 2

12686 Cth K
Manitowish Waters, WI 54545-9324
Phone (715) 543-8417

Other identifiers 1

IdentifierTypeStateIssuer
40315900MedicaidWI

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

LicenseStateTypeSpecialty
5523-024WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Joint School District No 1 Past Accepting new patients
Marshfield Clinic 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.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1790866267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10181 OVERLOOK LN",
            "city": "HAZELHURST",
            "state": "WI",
            "postal_code": "545319599",
            "telephone_number": "715-356-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11065 OLD HWY 51 N",
            "city": "ARBOR VITAE",
            "state": "WI",
            "postal_code": "545689721",
            "telephone_number": "715-356-3282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7450 Titus Dr",
            "address_purpose": "LOCATION",
            "city": "Minocqua",
            "state": "WI",
            "postal_code": "545489139",
            "country_code": "US",
            "telephone_number": "715-356-5206",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12686 Cth K",
            "address_purpose": "LOCATION",
            "city": "Manitowish Waters",
            "state": "WI",
            "postal_code": "545459324",
            "country_code": "US",
            "telephone_number": "715-543-8417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "TINA",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "5523-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40315900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arbor Vitae, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.

Verify at the official NPI Registry.