Michael Stimac, PTA, LAT

Physical Therapy Assistant · Berlin, WI

Individual Active NPI

NPI number 1316231616

Practice location

225 Memorial Dr
Berlin, WI 54923-1243
Phone
(920) 748-9633

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NPI record

NPI
1316231616
Entity type
Individual (Type 1)
Enumeration date
June 3, 2011
Last updated
June 22, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 1830-19 WI
Athletic Trainer 2255A2300X 1435-39 WI

Mailing address

1612 Roosevelt Ave
Oshkosh, WI 54901-1733
Phone
(920) 573-0983

About Michael Stimac

Michael Stimac, PTA, LAT is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 225 Memorial Dr, Berlin, WI 54923-1243. The NPI number 1316231616 was assigned on June 3, 2011 and the record was last updated on June 22, 2016.

Michael Stimac lists 2 licenses in the registry: #1830-19 (WI) for Physical Therapy Assistant; #1435-39 (WI) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael Stimac, PTA, LAT?

The NPI number is 1316231616.

What is the phone number of Michael Stimac?

The phone number listed for the practice location is (920) 748-9633.

Where is Michael Stimac located?

225 Memorial Dr, Berlin, WI 54923-1243.

What is the taxonomy code for Michael Stimac?

The primary taxonomy code is 225200000X – Physical Therapy Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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