Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
NORTHWOODS PHYSICAL THERAPY CLINIC & FITNESS CENTER INC
Active
Organization
NORTHWOODS PHYSICAL THERAPY CLINIC & FITNESS CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL PAUL MCCUSKER R.P.T. (PRESIDENT/CHIEF PHYSICAL THERAPIST)
(715) 634-2165
Entity
Organization
Contact information
Practice address
15537 W HWY 77 EAST, HAYWARD, WI 54843
(715) 634-2165
(715) 634-1846
Mailing address
P.O. BOX 13018, HAYWARD, WI 54843
(715) 634-2165
(715) 634-1846
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3070-024
WI
225100000X
Physical Therapist
3070024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650013194
PALMETTO GBA
—
01
—
W10003647
TRICARE REGION CLAIMS
—
Enumeration date
03/02/2007
Last updated
03/04/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up