Mayro R. Kubista, PT
Individual provider Active NPI Physical Therapist · Colby, WI
NPI 1861601247 · NPPES record last updated Sep 21, 2023
Key facts
- NPI
- 1861601247
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 4594 (WI)
- Practice address
- 120 Dehne Dr
Colby, WI 54421-9589 - Phone
- (715) 223-6442
- NPI assigned
- May 22, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- MCHS Hospitals Inc
Practice addresses (Care Compare)
1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511
120 Dehne Dr
Colby, WI 54421-9589
Phone (715) 223-6442
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.58 of 100
- Quality
- 55.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.46
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070614000483 | WI | Practitioner - Physical Therapist in Private Practice | 6103924162 | Reassigns benefits to 9 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current |
Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current |
Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current |
Accepting new patients | |
| MCHS Hospitals Inc | Current |
Accepting new patients | |
| Flambeau Hospital Inc | Current |
Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current |
Accepting new patients | |
| Memorial Hospital Inc | Current |
Accepting new patients | |
| Marshfield Clinic Inc | Current |
Accepting new patients | |
| Flambeau Hospital Inc | Current |
Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current |
Accepting new patients | |
| Memorial Hospital Inc | Past | Accepting new patients |
Locations
705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090
120 Dehne Dr
Colby, WI 54421
Phone (715) 223-4003
3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200
1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111
1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399
N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101
1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133
2727 Plaza Dr
Wausau, WI 54401
Phone (715) 847-3000
Interoperability endpoints
- him@marshfieldclinichealthsystem.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4594 | WI | Yes |
Addresses
Primary practice location
120 Dehne Dr
Colby, WI 54421-9589
Mailing address
1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40287900 | Medicaid | WI |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | him@marshfieldclinichealthsystem.cernerdirect.com |
Other providers in Colby, WI
- Katie Iverson
- Ashley Kaiser
- Karla Kimlicka
- Paula Kay Kobs
- Amy Koch
- McKayla Maguire
- Rebecca A Maine
- Tara Maki
- Hector Rey A Manzon
- Marshfield Clinic, Inc.
All providers in Colby, 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 Sep 21, 2023. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.