Active NPI
Gregory Mishica
- Physical Therapist
- Escanaba, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 54502009968
- Practice address
- 3401 Ludington St
Escanaba, MI 49829-1300 - Phone
- (906) 428-5406
- NPI assigned
- Jan 25, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 54502009968 | MI | Primary |
Addresses
Primary practice location
3401 Ludington St
Escanaba, MI 49829-1300
Mailing address
3401 Ludington St
Escanaba, MI 49829-1300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Washington University School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4000 N Providence Ave
Appleton, WI 54913-8018
Phone (920) 968-0814
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54502009968 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services Wi LLC | Physical Therapist | Current | Accepting new patients |
| Orthopedic & Spine Therapy of Lakewood, SC | Physical Therapist | Current | Accepting new patients |
| Orthopedic & Spine Therapy of Green Bay, SC | Physical Therapist | Current | Accepting new patients |
| Orthopedic and Spine Therapy of Menasha SC | Physical Therapist | Current | Accepting new patients |
| Orthopedic & Spine Therapy of Menasha SC | Physical Therapist | Current | Accepting new patients |
| Orthopedic & Spine Therapy of Green Bay SC | Physical Therapist | Current | Accepting new patients |
| Orthopedic & Spine Therapy of Brillion, SC | Physical Therapist | Current | Accepting new patients |
| Orthopedic & Spine Therapy of | Physical Therapist | Current | Accepting new patients |
| Orthopedic & Spine Therapy of Menasha SC | Physical Therapist | Past | Accepting new patients |
Locations
4000 N Providence Ave
Appleton, WI 54913
Phone (920) 257-2000
544 Fairway Dr
Brillion, WI 54110
Phone (920) 756-9340
3108 Mid Valley Dr
De Pere, WI 54115
Phone (920) 432-9040
301 N Broadway
Ste 206
De Pere, WI 54115
Phone (920) 257-2000
1 Bank Ave
Ste C
Kaukauna, WI 54130
Phone (920) 759-9075
1000 Midway Rd
Menasha, WI 54952
Phone (920) 257-2000
Organizations & group practices 9
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.
-
- Physical Therapist
- Kaukauna, WI
- NPI 1831260611
-
- Physical Therapist
- Milwaukee, WI
- NPI 1518483973
-
- Physical Therapist
- Manitowoc, WI
- NPI 1154368843
-
- Physical Therapist
- De Pere, WI
- NPI 1558477307
-
- Physical Therapist
- Lakewood, WI
- NPI 1023338506
-
- Physical Therapist
- Brillion, WI
- NPI 1811920887
-
- Physical Therapist
- De Pere, WI
- NPI 1033588579
-
- Physical Therapist
- Appleton, WI
- NPI 1932136322
-
- Physical Therapist
- Menasha, WI
- NPI 1205863602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485302400000",
"number": "1922545250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3401 LUDINGTON ST",
"city": "ESCANABA",
"state": "MI",
"postal_code": "498291300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 LUDINGTON ST",
"city": "ESCANABA",
"state": "MI",
"postal_code": "498291300",
"telephone_number": "906-428-5406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISHICA",
"first_name": "GREGORY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-25",
"last_updated": "2017-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "54502009968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Escanaba, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.