Tony Guckenberg, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11130-024 Issued in WI

Practice address

2600 Stewart Ave
Suite 160
Wausau, WI 54401-4148

Phone

(715) 897-0211

NPI assigned

May 10, 2012

Sex

Male

Sole proprietor

Yes

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

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.

• Phyt Rehab of Wisconsin, Inc.

  • Physical Therapist
  • Wausau, WI
  • NPI 1366965931
  NPD

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336608000000",
    "number": "1942569942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4118 BRIARWOOD AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544031206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 STEWART AVE",
            "address_2": "SUITE 160",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014148",
            "telephone_number": "715-897-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUCKENBERG",
        "first_name": "TONY",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-10",
        "last_updated": "2012-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "11130-024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grounding Stone Counseling, LLC
• Julie M Gruenwald, M.S., L.P.C.
• Leah I Gruhlke, RDH
• Kay A Gruling, MD FAAFP
• Chett Michael Grunwald, D.C.
• Jessi Guden
• Pavel Guigauri, MD
• Anna Marie Guillen
• Juliana Germaine Gullickson
• Dana Rae Gumney

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; 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.