Active NPI
David E Stutzriem, PT, ATC
- Physical Therapist
- Wausau, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10421-24
- Practice address
- 225000 Hummingbird Rd Ste 100
Wausau, WI 54401-2950 - Phone
- (715) 359-6442
- NPI assigned
- Jun 7, 2006
- Last updated
- Nov 30, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Athletic Trainer | 2255A2300X | |||
| Physical Therapist | 225100000X | 10421-24 | WI | Primary |
Addresses
Primary practice location
225000 Hummingbird Rd Ste 100
Wausau, WI 54401-2950
Mailing address
225000 Hummingbird Rd Ste 100
Wausau, WI 54401-2950
Phone (715) 359-6442
Other practice location 1
3402 Howland Ave # 100
Weston, WI 54476-5633
Phone (920) 279-4922
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
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
225000 Hummingbird Rd
Suite 100
Wausau, WI 54401-2950
Phone (715) 359-6442
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspirus Medical Group, Inc. | Current | Accepting new patients | |
| Bone & Joint Clinic S.C. | Physical Therapist | Current | Accepting new patients |
| Aspirus Medical Group, Inc. | Current | Accepting new patients | |
| Bone & Joint Clinic S.C. | Current | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
225000 Hummingbird Rd
Ste 100
Rib Mountain, WI 54401
Phone 71535964421615
4005 Community Center Dr
Weston, WI 54476
Phone (715) 241-5400
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Aspirus Perinatology Clinic
- Obstetrics & Gynecology Physician
- Wausau, WI
- NPI 1942084199
-
dba Bone & Joint Clinic @ Wausau
- Durable Medical Equipment & Medical Supplies
- Wausau, WI
- NPI 1982306726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669766400000",
"number": "1932149168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225000 HUMMINGBIRD RD STE 100",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544012950",
"telephone_number": "715-359-6442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225000 HUMMINGBIRD RD STE 100",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544012950",
"telephone_number": "715-359-6442"
}
],
"practiceLocations": [
{
"address_1": "3402 Howland Ave # 100",
"address_purpose": "LOCATION",
"city": "Weston",
"state": "WI",
"postal_code": "544765633",
"country_code": "US",
"telephone_number": "920-279-4922",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STUTZRIEM",
"first_name": "DAVID",
"middle_name": "E",
"credential": "PT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2022-11-30",
"certification_date": "2022-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "10421-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wausau, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.