Stacy Wickershiem, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6298-24 Issued in WI

Practice address

131 E Washington St Ste 1a
Appleton, WI 54911-5447

Phone

(920) 852-5317

NPI assigned

Aug 22, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1787356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787356800000",
    "number": "1871409490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 E WASHINGTON ST STE 1A",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549115447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 E WASHINGTON ST STE 1A",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549115447",
            "telephone_number": "920-852-5317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKERSHIEM",
        "first_name": "STACY",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-22",
        "last_updated": "2026-08-22",
        "certification_date": "2026-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "6298-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick W White, D.D.S.
• Robert W White Jr., M.D.
• Stephanie Ann Whitley, OT
• Ashley Whitmarsh
• Kristal Kay Wichman, MSW
• David Alfred Wickman, ADDICTION THERAPIST
• Christian Edward Widder, MD
• Sara Wiebel
• James D Wiedenhoeft, LCSW
• Cassandra Jane Wildenberg, MPT

• Physical Therapist in Appleton, WI
• Providers in Appleton, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.