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MICHELLE TAVERA DPT
NPI 1639027675
Physical Therapist - Pediatrics in Superior, WI

Active since March 17, 2026
1423 CENTRAL AVE, SUPERIOR, WI 54880(715) 394-8785 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michelle Tavera Dpt NPPES

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

MICHELLE TAVERA DPT (NPI 1639027675) is an individual pediatrics provider in Superior, Wisconsin, licensed in Wisconsin (4260-24) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1639027675
Entity TypeIndividual
Primary Taxonomy2251P0200X
Provider Legal NameMICHELLE TAVERACredential: DPT
Location Address1423 CENTRAL AVESuperior, WI 54880-5963
Mailing Address1423 Central AveSuperior, WI 54880-5963
Phone(715) 394-8785
Sole ProprietorNo
Enumeration DateMarch 17, 2026
NPPES CertifiedMarch 17, 2026
✔ NPI 1639027675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in WI · 4260-24
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
1423 CENTRAL AVE, Superior, WI 54880
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Other Providers at the Same Location NPPES 4

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

JASON CLYDE LEVEILLE RN
Registered Nurse
1423 CENTRAL AVE
SUPERIOR, WI 54880
Douglas County (715) 394-8785
MARY BALCER MA, CCC/SLP
Speech-Language Pathologist
1423 CENTRAL AVE
SUPERIOR, WI 54880
Douglas County (715) 394-8785
DANIELLE MARIE RHINEHART PTA
Physical Therapy Assistant
1423 CENTRAL AVE
SUPERIOR, WI 54880
Douglas County (715) 394-8785
HALIE JEAN RICHARDS OTR
Occupational Therapist
1423 CENTRAL AVE
SUPERIOR, WI 54880
Douglas County (715) 394-8785

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 Michelle Tavera's NPI number?

The NPI number for Michelle Tavera is 1639027675. It was assigned to this individual provider in the NPPES registry on March 17, 2026.

Where is Michelle Tavera located?

Michelle Tavera practices at 1423 Central Ave, Superior, WI 54880. The listed phone number is (715) 394-8785.

What is Michelle Tavera's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Michelle Tavera was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.