Individual provider Active NPI

Michael Naumann, DPT

  • Physical Therapist
  • Spooner, WI
National Provider Identifier
1811510852
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
112 Ash St
Spooner, WI 54801-1487
Phone
(715) 635-3979
NPI assigned
May 26, 2020
Last updated
May 26, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2020

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

112 Ash St
Spooner, WI 54801-1487

Mailing address

112 Ash St
Spooner, WI 54801-1487
Phone (715) 635-3979

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200602000354 WI Practitioner - Physical Therapist in Private Practice 0042631954 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

300 Main St W
Ashland, WI 54806-3696
Phone (715) 685-2200

7665 US Hwy 2
Iron River, WI 54847-4690
Phone (715) 372-5001

9675 E Elm Rd
Poplar, WI 54864-9102
Phone (715) 364-7270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Physical Therapy & Sports Rehab, LLC CurrentSince Mar 23, 2022 Accepting new patients
The Lakes Community Health Center, Inc CurrentSince Nov 1, 2024 Accepting new patients
The Lakes Community Health Center, Inc CurrentSince Nov 1, 2024 Accepting new patients
Advantage Physical Therapy & Sports Rehab, LLC Current Accepting new patients
Advantage Physical Therapy & Sports Rehab, LLC CurrentSince Mar 23, 2022 Accepting new patients
The Lakes Community Health Center, Inc Past Accepting new patients
The Lakes Community Health Center, Inc PastSince Feb 25, 2024 Accepting new patients

Locations

300 Main St W
Ashland, WI 54806
Phone (715) 685-2200

204 S Pine St
Burlington, WI 53105
Phone (262) 767-9579

10405 Vermont Ave
Hayward, WI 54843
Phone (715) 699-1355

15735 W US Highway 63
Hayward, WI 54843

7665 US Highway 2
Iron River, WI 54847
Phone (715) 372-5001

3921 30th Ave
Ste C
Kenosha, WI 53144
Phone (262) 925-5000

9675 E Elm Rd
Poplar, WI 54864
Phone (715) 364-7270

11178 Obrien Pkwy
Ste 1
Solon Springs, WI 54873
Phone (715) 816-8100

112 Ash St
Ste A
Spooner, WI 54801
Phone (715) 635-3979

320 Superior Ave
Washburn, WI 54891
Phone (715) 373-0128

Organizations & group practices 7

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": "1590451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590451200000",
    "number": "1811510852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 ASH ST",
            "city": "SPOONER",
            "state": "WI",
            "postal_code": "548011487",
            "telephone_number": "715-635-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 ASH ST",
            "city": "SPOONER",
            "state": "WI",
            "postal_code": "548011487",
            "telephone_number": "715-635-3979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAUMANN",
        "first_name": "MICHAEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-26",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spooner, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; 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.