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HEATHER LISA MCCARTHY PT, DPT
NPI 1194288381
Physical Therapist in Wisconsin Rapids, WI

Active since April 13, 2019Accepts Medicare Assignment
82.79/100
CMS Quality Rating
1845 8TH ST S, WISCONSIN RAPIDS, WI 54494(715) 422-1050 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 7, 2024, Apr 17, 2024, Jun 24, 2021 and 2 more (5 updates tracked since 2019).

About Heather Lisa Mccarthy Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEATHER LISA MCCARTHY PT, DPT (NPI 1194288381) is an individual physical therapist in Wisconsin Rapids, Wisconsin, licensed in Wisconsin (14636) and active in the NPI registry since April 2019. She maintains 2 additional practice locations and is a graduate of Other (2019).

NPPES Registry Identity

NPI1194288381
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameHEATHER LISA MCCARTHYCredential: PT, DPT
Location Address1845 8TH ST SWisconsin Rapids, WI 54494-5271
Mailing Address3815 Vans RdWisconsin Rapids, WI 54495-9280 · (815) 354-2542
Phone(715) 422-1050
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateApril 13, 2019
Last NPPES UpdateOctober 7, 20245 updates tracked since enumeration
NPPES CertifiedOctober 7, 2024
✔ NPI 1194288381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in WI · 14636
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1845 8TH ST S, Wisconsin Rapids, WI 54494
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Secondary Practice Locations 2

Location 14100 State Highway 66Stevens Point, WI 54482-8410 · Phone (715) 343-7700
Location 2220 24th St SWisconsin Rapids, WI 54494-1908 · Phone (715) 422-5229

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan, Security Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Heather Lisa Mccarthy Pt, Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486987195
PECOS Enrollment IDI20190612002179

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
429 services57 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
105 services23 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
87 services14 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
62 services12 patients
Evaluation for physical therapy, typically 30 minutes 97162
An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.
35 services33 patients
Training for self-care or home management, each 15 minutes 97535
This service involves training sessions, each lasting 15 minutes, focused on teaching you essential self-care or home management skills. You'll learn techniques to manage your health condition at home, promoting independence and enhancing your quality of life.
29 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54494 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.98
Promoting Interoperability99
Improvement Activities40
Cost66.19

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTOPHER M ASHBECK DPT, OCS
Physical Therapist
1845 8TH ST S
WISCONSIN RAPIDS, WI 54494
Wood County (715) 422-1050
PINNACLE PERFORMANCE THERAPY LLC
Physical Therapist
1845 8TH ST S
WISCONSIN RAPIDS, WI 54494
Wood County (715) 422-1050

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heather Mccarthy's NPI number?

The NPI number for Heather Mccarthy is 1194288381. It was assigned to this individual provider in the NPPES registry on April 13, 2019.

Where is Heather Mccarthy located?

Heather Mccarthy practices at 1845 8th St S, Wisconsin Rapids, WI 54494. The listed phone number is (715) 422-1050.

What is Heather Mccarthy's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Heather Mccarthy enrolled in Medicare?

Yes. Heather Mccarthy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Heather Mccarthy accept?

Health plans from Sanford Health Plan and Security Health Plan list Heather Mccarthy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Heather Mccarthy was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.