Nicholas Thiel, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2536-19 Issued in WI

Practice address

N4231 State Highway 22
Shawano, WI 54166-6130

Phone

(715) 526-3158

NPI assigned

Feb 1, 2017

Sex

Male

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

State licenses

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

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1922546712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19395 W CAPITOL DR",
            "address_2": "STE 200",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530452736",
            "telephone_number": "262-923-7101",
            "fax_number": "262-923-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N4231 STATE HIGHWAY 22",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541666130",
            "telephone_number": "715-526-3158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIEL",
        "first_name": "NICHOLAS",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-01",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "2536-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thedacare Medical Center - Shawano, Inc.
• Thedacare Medical Center - Shawano, Inc.
• Thedacare, Incorporated
• Thedacare, Incorporated
• Paul Michael Theuerkauf, P.T.
• Shantel Thomas
• Thomas Thomas, MD
• Bentley Jessica Mae Thomason, MD
• Heidi Lee Thompson, P.T.A.
• Ann Renae Thornock, APNP - FAMILY

• Physical Therapy Assistant in Shawano, WI
• Providers in Shawano, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; 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.