Michael John Scandin, PT LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

540039 Issued in WI

Practice address

16 E Menard Plaza
Wausau, WI 54401

Phone

(715) 845-2942

Fax

(715) 842-3416

NPI assigned

May 11, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Merrill Physical Therapy Limited Partnership

  • Rehabilitation Clinic/Center
  • Merrill, WI
  • NPI 1033227277
  NPD (past)

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1821048844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1349",
            "address_2": "SPORT & SPINE CLINIC",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544021349",
            "telephone_number": "715-845-2942",
            "fax_number": "715-842-3416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 E MENARD PLAZA",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "54401",
            "telephone_number": "715-845-2942",
            "fax_number": "715-842-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCANDIN",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "PT LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "3841024",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WI",
            "license": "540039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4180500",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECURITY HEALTH",
            "identifier": "29129",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise Sauter
• Brittani Sauve, OTA
• Christa Savage, SLP
• Ricky L. Scalcucci, O.D
• Kristin Scandin, OT
• Riley Scanlan
• Kenneth Russell Schaefer, RPH
• Shannon C Schaefer, PH.D.
• Amanda Jean Schafer, LPC
• Ivan B. Schaller, MD

• Athletic Trainer in Wausau, WI
• Providers in Wausau, WI by specialty
• Athletic Trainer in Wisconsin

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