Mikayla Sanocki

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12644-24 Issued in WI

Practice address

709 Rivard St
Somerset, WI 54025-1402

Phone

(715) 247-5735

NPI assigned

Jun 6, 2014

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)

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.

• Velocity Physical Therapy & Wellness Clinic, LLC

  • Physical Therapy Clinic/Center
  • Hudson, WI
  • NPI 1285176644
  NPD (past)

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

{
    "created_epoch": "1402012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1922411909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 WILLIS MILLER DR",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540167999",
            "telephone_number": "715-386-1155",
            "fax_number": "715-386-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 RIVARD ST",
            "city": "SOMERSET",
            "state": "WI",
            "postal_code": "540251402",
            "telephone_number": "715-247-5735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "816 Carmichael Rd",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "WI",
            "postal_code": "540167759",
            "country_code": "US",
            "telephone_number": "715-716-5191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2305 Willis Miller Dr",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "WI",
            "postal_code": "540167999",
            "country_code": "US",
            "telephone_number": "715-386-1155",
            "fax_number": "715-386-1105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANOCKI",
        "first_name": "MIKAYLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-06",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "12644-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Arlen Rud, DC
• Kyle Ruhde, ATC
• Rybacki Physical Therapy LLC
• Amie R Rybacki, MPT
• Anna Sophia Sande, PA-C
• Terri Marie Satersmoen, MS CCC-SLP
• Justin Scheierl, DPT
• Andrea Schneider, PT
• School District of Somerset
• Somerset Chiro, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.