SHEILA L BANOVETZ PHYSICAL THERAPIST
NPI 1952424236
Physical Therapist in Stevens Point, WI

Active since April 09, 2007Accepts Medicare Assignment
82.16/100
CMS Quality Rating
500 VINCENT ST, STEVENS POINT, WI 54481(715) 344-0701(715) 344-4494 Get Directions Write a Review

NPPES record last updated: May 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 11, 2022, May 1, 2019 (2 updates tracked since 2019).

About Sheila L Banovetz Physical Therapist NPPES

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

SHEILA L BANOVETZ PHYSICAL THERAPIST (NPI 1952424236) is an individual physical therapist in Stevens Point, Wisconsin, licensed in Wisconsin (5325-024) and active in the NPI registry since April 2007. She is a graduate of Washington University School Of Medicine (1985).

NPPES Registry Identity

NPI1952424236
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameSHEILA L BANOVETZCredential: PHYSICAL THERAPIST
Location Address500 VINCENT STStevens Point, WI 54481-1842
Mailing Address500 Vincent StStevens Point, WI 54481-1842 · (715) 997-9813
Fax(715) 344-4494
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 1985
Enumeration DateApril 9, 2007
Last NPPES UpdateMay 11, 20222 updates tracked since enumeration
NPPES CertifiedMay 11, 2022
NPI 1952424236 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 · 5325-024
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:
  • 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.
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.
500 VINCENT ST, Stevens Point, WI 54481

Other Identifiers 1

Medicaid40357500WI

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

Sheila L Banovetz Physical Therapist 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 ID5597859439
PECOS Enrollment IDI20070921000718

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.
174 services16 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
73 services14 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.
40 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54481 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.

82.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality65.6
Promoting Interoperability93
Improvement Activities40
Cost80.77

Reported Quality Measures

Documentation of Current Medications in the Medical Record
7%99 patients1/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
67%30 patients3/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 67% · 66 patients
67%66 patients
Provide Patients Electronic Access to Their Health Information
56%32 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Anesthesiology
500 VINCENT ST
STEVENS POINT, WI 54481
Physical Therapist
500 VINCENT ST
STEVENS POINT, WI 54481
Specialist/Technologist (Athletic Trainer)
500 VINCENT ST
STEVENS POINT, WI 54481
Psychiatry & Neurology (Neurology)
500 VINCENT ST
STEVENS POINT, WI 54481
Emergency Medicine
500 VINCENT ST
STEVENS POINT, WI 54481
Physician Assistant (Surgical)
500 VINCENT ST
STEVENS POINT, WI 54481
Orthopaedic Surgery
500 VINCENT ST
STEVENS POINT, WI 54481
Urology
500 VINCENT ST, SUITE D
STEVENS POINT, WI 54481

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 Sheila Banovetz's NPI number?

The NPI number for Sheila Banovetz is 1952424236. It was assigned to this individual provider in the NPPES registry on April 9, 2007.

Where is Sheila Banovetz located?

Sheila Banovetz practices at 500 Vincent St, Stevens Point, WI 54481. The listed phone number is (715) 344-0701.

What is Sheila Banovetz's specialty?

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

Is Sheila Banovetz enrolled in Medicare?

Yes. Sheila Banovetz 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 Sheila Banovetz accept?

Health plans from Anthem Blue Cross and Blue Shield and Security Health Plan list Sheila Banovetz 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 Sheila Banovetz was last updated on May 11, 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.