CYNTHIA M. KOEHLER PT
NPI 1568798593
Physical Therapist in Wausau, WI

Active since October 27, 2009Accepts Medicare Assignment
82.79/100
CMS Quality Rating
225000 HUMMINGBIRD RD STE 100, WAUSAU, WI 54401(715) 359-6442 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cynthia M. Koehler Pt NPPES

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

CYNTHIA M. KOEHLER PT (NPI 1568798593) is an individual physical therapist in Wausau, Wisconsin, licensed in Wisconsin (3641-24) and active in the NPI registry since October 2009. She is a graduate of University Of Wisconsin School Of Medicine (1988).

NPPES Registry Identity

NPI1568798593
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameCYNTHIA M. KOEHLERCredential: PT
Location Address225000 HUMMINGBIRD RD STE 100Wausau, WI 54401-2950
Mailing Address225000 Hummingbird Rd Ste 100Wausau, WI 54401-2950 · (715) 359-6442
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1988
Enumeration DateOctober 27, 2009
Last NPPES UpdateFebruary 26, 2024
NPPES CertifiedFebruary 26, 2024
NPI 1568798593 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 · 3641-24
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.

225000 HUMMINGBIRD RD STE 100, Wausau, WI 54401

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 and accepts Medicare assignment

Cynthia M. Koehler Pt 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 ID7618015553
PECOS Enrollment IDI20091112000478

Areas of Expertise CMS Part B claims 3

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.
550 services62 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.
187 services26 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.
37 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54401 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 20

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

Physician Assistant
225000 HUMMINGBIRD RD STE 100
WAUSAU, WI 54401
Orthopaedic Surgery
225000 HUMMINGBIRD RD STE 100
WAUSAU, WI 54401
Nurse Practitioner (Family)
225000 HUMMINGBIRD RD STE 100
WAUSAU, WI 54401
Orthopaedic Surgery
225000 HUMMINGBIRD RD STE 100
RIB MOUNTAIN, WI 54401
Physician Assistant
225000 HUMMINGBIRD RD STE 100
WAUSAU, WI 54401
Podiatrist
225000 HUMMINGBIRD RD STE 100
WAUSAU, WI 54401
Orthopaedic Surgery
225000 HUMMINGBIRD RD STE 100
WAUSAU, WI 54401
Physical Therapist
225000 HUMMINGBIRD RD STE 100
WAUSAU, WI 54401

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 Cynthia Koehler's NPI number?

The NPI number for Cynthia Koehler is 1568798593. It was assigned to this individual provider in the NPPES registry on October 27, 2009.

Where is Cynthia Koehler located?

Cynthia Koehler practices at 225000 Hummingbird Rd Ste 100, Wausau, WI 54401. The listed phone number is (715) 359-6442.

What is Cynthia Koehler's specialty?

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

Is Cynthia Koehler enrolled in Medicare?

Yes. Cynthia Koehler 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 Cynthia Koehler accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica and Security Health Plan list Cynthia Koehler 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 Cynthia Koehler was last updated on February 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.