SPINE AND SPORT PHYSICAL THERAPY OF WAUPACA LLC
NPI 1770768046
Physical Therapist in Waupaca, WI
About Spine And Sport Physical Therapy Of Waupaca Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SPINE AND SPORT PHYSICAL THERAPY OF WAUPACA LLC (NPI 1770768046) is a healthcare organization registered as a physical therapist in Waupaca, Wisconsin and active in the NPI registry since January 2008. The organization lists Michael Ray Koch, Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
- 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.
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Spine And Sport Physical Therapy Of Waupaca Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Spine And Sport Physical Therapy Of Waupaca LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Spine And Sport Physical Therapy Of Waupaca LLC's NPI number?
The NPI number for Spine And Sport Physical Therapy Of Waupaca LLC is 1770768046. It was assigned to this organization in the NPPES registry on January 7, 2008.
Where is Spine And Sport Physical Therapy Of Waupaca LLC located?
Spine And Sport Physical Therapy Of Waupaca LLC is located at 1439 Churchill St Ste 102, Waupaca, WI 54981. The listed phone number is (920) 538-3670.
What is Spine And Sport Physical Therapy Of Waupaca LLC's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Spine And Sport Physical Therapy Of Waupaca LLC enrolled in Medicare?
Yes. Spine And Sport Physical Therapy Of Waupaca LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Spine And Sport Physical Therapy Of Waupaca LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Spine And Sport Physical Therapy Of Waupaca LLC. A 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 the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Spine And Sport Physical Therapy Of Waupaca LLC accept?
Health plans from Anthem Blue Cross and Blue Shield and Security Health Plan list Spine And Sport Physical Therapy Of Waupaca LLC 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 Spine And Sport Physical Therapy Of Waupaca LLC was last updated on March 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.