Individual provider Active NPI

Seugnet Debauche, PT

  • Physical Therapist
  • Marinette, WI
National Provider Identifier
1801274717
Registry record updated Aug 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
3200 Shore Dr
Marinette, WI 54143-4292
Phone
(715) 732-8610
Fax
(715) 732-8650
NPI assigned
May 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2015

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 Primary

Addresses

Primary practice location

3200 Shore Dr
Marinette, WI 54143-4292

Mailing address

PO Box 22487
Green Bay, WI 54305-2487
Phone (920) 445-7210

Other names 1

  • Seugnet Muller Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150630000174 WI Practitioner - Physical Therapist in Private Practice 3779895099 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bellin Memorial Hospital IncGroup PAC ID 8820900749, 685 clinicians

Practice addresses (Care Compare)

723 S Wisconsin St
Pulaski, WI 54162-0109
Phone (920) 822-1100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bellin Memorial Hospital Inc CurrentSince Feb 1, 2017 Accepting new patients
Bellin Memorial Hospital Inc Current Accepting new patients
Bellin Memorial Hospital Inc Physical Therapist CurrentSince May 26, 2015 Accepting new patients
Oconto Hospital & Medical Center Inc Current Accepting new patients
Oconto Hospital & Medical Center, Inc. CurrentSince May 26, 2015 Accepting new patients
Bellin Memorial Hospital Inc Current Accepting new patients
Bellin Memorial Hospital Inc CurrentSince May 26, 2015 Accepting new patients
Oconto Hospital & Medical Center Inc CurrentSince May 26, 2015 Accepting new patients

Locations

610 S Lincoln Rd
Escanaba, MI 49829
Phone (906) 786-6488

440 Woodward Ave
Iron Mountain, MI 49801
Phone (906) 776-9040

901 Pyle Dr
Kingsford, MI 49802
Phone (906) 774-3779

218 S US Highway 141
Crivitz, WI 54114
Phone (715) 854-7477

555 Redbird Cir
De Pere, WI 54115
Phone (920) 338-6820

555 Redbird Cir
Ste 300
De Pere, WI 54115
Phone (920) 338-6830

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

430 S Clay St
Green Bay, WI 54301
Phone (920) 432-5231

2820 Roosevelt Rd
Marinette, WI 54143
Phone (715) 330-6171

3200 Shore Dr
Marinette, WI 54143
Phone (715) 732-8610

820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100

833 S Main St
Oconto Falls, WI 54154
Phone (920) 338-6866

723 S Wisconsin St
Pulaski, WI 54162
Phone (920) 822-1100

Interoperability endpoints

  • Direct secure messaging: smuller163375@direct.thedacare.org

Organizations & group practices 9

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": "1431388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439424000000",
    "number": "1801274717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22487",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543052487",
            "telephone_number": "920-445-7210",
            "fax_number": "920-445-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 SHORE DR",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541434292",
            "telephone_number": "715-732-8610",
            "fax_number": "715-732-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBAUCHE",
        "first_name": "SEUGNET",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-12",
        "last_updated": "2015-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SEUGNET",
            "last_name": "MULLER",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marinette, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; 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.