NICOLE THIEL DONNELLY PT
NPI 1316513187
Physical Therapist in Auburndale, WI

Active since June 02, 2021
10524 GEORGE AVE, AUBURNDALE, WI 54412(715) 652-3470(715) 898-1815 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 19, 2021, Jun 2, 2021 (2 updates tracked since 2021).

About Nicole Thiel Donnelly Pt NPPES

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

NICOLE THIEL DONNELLY PT (NPI 1316513187) is an individual physical therapist in Auburndale, Wisconsin, licensed in Wisconsin (15674-24) and active in the NPI registry since June 2021. She is a graduate of Other (2021).

NPPES Registry Identity

NPI1316513187
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameNICOLE THIEL DONNELLYCredential: PT
Location Address10524 GEORGE AVEAuburndale, WI 54412-9677
Mailing Address10524 George AveAuburndale, WI 54412-9677 · (715) 652-3470 · Fax (715) 652-3473
Fax(715) 898-1815
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 2, 2021
Last NPPES UpdateOctober 29, 20252 updates tracked since enumeration
NPPES CertifiedOctober 29, 2025
NPI 1316513187 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 · 15674-24
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:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>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.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>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.

10524 GEORGE AVE, Auburndale, WI 54412

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Nicole Thiel Donnelly Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1355876509
PECOS Enrollment IDI20260511000515

Other Providers at the Same Location NPPES 3

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

Physical Therapist
10524 GEORGE AVE, SUITE 2
AUBURNDALE, WI 54412
Physical Therapist
10524 GEORGE AVE, SUITE 2
AUBURNDALE, WI 54412
Physical Therapist
10524 GEORGE AVE, SUITE 2
AUBURNDALE, WI 54412

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316513187, enumerated as an "individual" on June 02, 2021.

The provider is located at 10524 GEORGE AVE AUBURNDALE, WI 54412 and the phone number is (715) 652-3470.

Physical Therapist with taxonomy code 225100000X.

The provider might be accepting Accepts: Security Health Plan. Please consult your insurance carrier or call the provider to verify.