Individual provider Active NPI

Madison M Scheppke, PT, DPT

  • Physical Therapist
  • New Auburn, WI
National Provider Identifier
1871266726
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15553-24 Issued in WI
Practice address
14313 290TH Ave
New Auburn, WI 54757-5197
Phone
(715) 491-8255
NPI assigned
Jul 27, 2021
Last updated
Jul 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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 15553-24 WI Primary

Addresses

Primary practice location

14313 290TH Ave
New Auburn, WI 54757-5197

Mailing address

1200 Oakleaf Way Ste B
Altoona, WI 54720-2245
Phone (715) 839-9266

Other practice location 1

1200 Oakleaf Way Ste B
Altoona, WI 54720-2245
Phone (715) 839-9266

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210810000870 WI Practitioner - Physical Therapist in Private Practice 8022412253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwoods Sport and Hand IncGroup PAC ID 9032399118, 28 clinicians

Practice addresses (Care Compare)

1200 Oakleaf Way
Suite B
Altoona, WI 54720-2245
Phone (715) 839-9266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15553-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwoods Sport & Hand, Inc CurrentSince Jul 29, 2021 Accepting new patients
Northwoods Sport & Hand, Inc Physical Therapist CurrentSince Jul 29, 2021 Accepting new patients

Locations

1200 Oakleaf Way
Ste B
Altoona, WI 54720
Phone (715) 839-9266

757 Lakeland Dr
Ste A
Chippewa Fls, WI 54729
Phone (715) 723-5060

1855 125th St
Lake Hallie, WI 54729
Phone (715) 839-9266

2919 Stout Rd
Menomonie, WI 54751
Phone (715) 235-4274

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, 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": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1871266726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 OAKLEAF WAY STE B",
            "city": "ALTOONA",
            "state": "WI",
            "postal_code": "547202245",
            "telephone_number": "715-839-9266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14313 290TH AVE",
            "city": "NEW AUBURN",
            "state": "WI",
            "postal_code": "547575197",
            "telephone_number": "715-491-8255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Oakleaf Way Ste B",
            "address_purpose": "LOCATION",
            "city": "Altoona",
            "state": "WI",
            "postal_code": "547202245",
            "country_code": "US",
            "telephone_number": "715-839-9266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHEPPKE",
        "first_name": "MADISON",
        "middle_name": "M",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "15553-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Auburn, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; 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.