Michael Benjamin Kowitz

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

17382-024 Issued in WI

Practice address

112 E 5TH Ave
Antigo, WI 54409-2710

Phone

(715) 623-9449

NPI assigned

Jul 19, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Iowa Physio LLCGroup PAC ID 2062732118, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Central Iowa Physio LLC

  • Physical Therapy Clinic/Center
  • Toledo, IA
  • NPI 1821488800
  Medicare reassignment Care Compare group NPD
• Central Iowa Physio, LLC

  • Rehabilitation Clinic/Center
  • State Center, IA
  • NPI 1992313654
  NPD

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

{
    "created_epoch": "1752883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1871485136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 E 5TH AVE",
            "city": "ANTIGO",
            "state": "WI",
            "postal_code": "544092710",
            "telephone_number": "715-623-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 E 5TH AVE",
            "city": "ANTIGO",
            "state": "WI",
            "postal_code": "544092710",
            "telephone_number": "715-623-9449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2628 Castle Pl",
            "address_purpose": "LOCATION",
            "city": "LA Crosse",
            "state": "WI",
            "postal_code": "546016492",
            "country_code": "US",
            "telephone_number": "641-484-5253",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1307 S Broadway St",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "IA",
            "postal_code": "523422307",
            "country_code": "US",
            "telephone_number": "641-484-5253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOWITZ",
        "first_name": "MICHAEL",
        "middle_name": "BENJAMIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-19",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "17382-024",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "CP046740T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard A Kjome, O.D.
• Michelle A Klingler, OT
• Bartley R Kneeland, MD
• Jolene M Kopplin, NP
• Stephen M. Kordiyak, C.R.N.A.
• Lisa Michelle Krebs, D.D.S.
• Krueger Chiropractic LLC
• Andrew Cary Krueger, D.C.
• Hannah Elizabeth Krueger, MASSAGE THERAPIST
• Langlade County

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; 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.