Individual provider Active NPI

Jennifer E Plaetz, PT

  • Physical Therapist
  • Mondovi, WI
National Provider Identifier
1942747712
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13636 Issued in WI
Practice address
250 Wi-37
Mondovi, WI 54755
Phone
(715) 538-4361
NPI assigned
Jan 31, 2017
Last updated
Mar 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 13636 WI Primary

Addresses

Primary practice location

250 Wi-37
Mondovi, WI 54755

Mailing address

250 State Rd 37 Mondovi, Wi 54755 715-53
Mondovi, WI 54755-9070
Phone (715) 538-4361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170213001992 WI Practitioner - Physical Therapist in Private Practice 9133402373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.81 of 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13636WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nielson Family Chiropractic PLLC Physical Therapist CurrentSince Mar 10, 2024 Accepting new patients

Locations

5050 W 36th St
Ste 100
St Louis Park, MN 55416
Phone (612) 920-1092

3119 Golf Rd
Ste 107
Eau Claire, WI 54701
Phone (715) 514-2833

700 Wolske Bay Rd
Ste 150
Menomonie, WI 54751
Phone (715) 231-2233

2806 Belknap St
Superior, WI 54880
Phone (715) 392-4078

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1942747712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 STATE RD 37 MONDOVI, WI 54755 715-53",
            "city": "MONDOVI",
            "state": "WI",
            "postal_code": "547559070",
            "telephone_number": "715-538-4361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 WI-37",
            "city": "MONDOVI",
            "state": "WI",
            "postal_code": "54755",
            "telephone_number": "715-538-4361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLAETZ",
        "first_name": "JENNIFER",
        "middle_name": "E",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-31",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "13636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mondovi, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.

Verify at the official NPI Registry.