1. Home
  2. Directory
  3. Wisconsin
  4. Beaver Dam
  5. Physical Therapist
  6. NPI Profile

MICHEAL E CEIZYK PT
NPI 1508979972
Physical Therapist - Orthopedic in Beaver Dam, WI

Active since August 17, 2006
134 CORPORATE DR, BEAVER DAM, WI 53916(920) 356-1000(920) 356-0719 Get Directions Write a Review

NPPES record last updated: February 17, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Micheal E Ceizyk Pt NPPES

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

MICHEAL E CEIZYK PT (NPI 1508979972) is an individual orthopedic provider in Beaver Dam, Wisconsin, licensed in Wisconsin (6203) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1508979972
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameMICHEAL E CEIZYKCredential: PT
Location Address134 CORPORATE DRBeaver Dam, WI 53916-3116
Mailing Address1515 Park AveColumbus, WI 53925-1618 · (920) 623-2200
Phone(920) 356-1000
Fax(920) 356-0719
Sole ProprietorNo
Enumeration DateAugust 17, 2006
Last NPPES UpdateFebruary 17, 2022
NPPES CertifiedFebruary 17, 2022
✔ NPI 1508979972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in WI · 6203
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
134 CORPORATE DR, Beaver Dam, WI 53916
Open in Google Maps ↗

Other Identifiers 4

Other1034219WI · Physicians Plus
Medicaid40349200WI
Other61271WI · Dean Health Systems
OtherP00064733WI · Railroad Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Micheal E Ceizyk Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Micheal Ceizyk reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Prairie Ridge Health, Inc.
0.1 mi
Orthopaedic Surgery
134 CORPORATE DR
Beaver Dam, WI 53916
  • Reassigned Medicare billing, Wisconsin enrollment
  • 115 clinicians in this Medicare group
NPI 1093137416 (920) 356-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 7

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

PRAIRIE RIDGE HEALTH, INC.
Orthopaedic Surgery
134 CORPORATE DR
BEAVER DAM, WI 53916
Dodge County (920) 356-1000
JUDY A MACDONALD NP
Nurse Practitioner
134 CORPORATE DR
BEAVER DAM, WI 53916
Dodge County (920) 356-1000
CARLEY ANN JAHNKE APNP
Nurse Practitioner
134 CORPORATE DR
BEAVER DAM, WI 53916
Dodge County (920) 356-1000
MR. BRET ACHTERBERG
Physical Therapist
134 CORPORATE DR
BEAVER DAM, WI 53916
Dodge County (920) 356-1000
ANDREW T TRATAR PA-C
Physician Assistant
134 CORPORATE DR
BEAVER DAM, WI 53916
Dodge County (920) 356-1000
DR. HOLLY LANDRY DPT
Physical Therapist
134 CORPORATE DR
BEAVER DAM, WI 53916
Dodge County (920) 356-1000
KRISTINE BRAKER NP
Nurse Practitioner (Family)
134 CORPORATE DR
BEAVER DAM, WI 53916
Dodge County (920) 356-1000

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 Micheal Ceizyk's NPI number?

The NPI number for Micheal Ceizyk is 1508979972. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Micheal Ceizyk located?

Micheal Ceizyk practices at 134 Corporate Dr, Beaver Dam, WI 53916. The listed phone number is (920) 356-1000.

What is Micheal Ceizyk's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Micheal Ceizyk enrolled in Medicare?

Yes. Micheal Ceizyk is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Micheal Ceizyk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Micheal Ceizyk reassigns Medicare benefits to Prairie Ridge Health, Inc. (Beaver Dam, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Micheal Ceizyk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Micheal Ceizyk was last updated on February 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.