STEVEN WAYNE KUBISIAK (DPT) – Physical Therapist, NPI 1225480478

STEVEN WAYNE KUBISIAK (DPT) is a healthcare provider. based in Wisconsin rapids, Wisconsin. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 13349 (WI). The NPI Number for STEVEN WAYNE KUBISIAK (DPT) is 1225480478

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
STEVEN WAYNE KUBISIAK (DPT)
NPI
1225480478
Phone
(715) 572-0864
Address
4710 FALCON CT
Enumeration Date
11 July 2016
Last Update Date
11 July 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7154241881
Graduation Year
2016 (10 years ago)
PAC ID
4587921440
Group Practice PAC ID
4880607431
Professional Enrollment ID
I20171130002107
Address ID
WI544941906WI140XXSXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

1,991 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WI

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Provider Addresses for STEVEN WAYNE KUBISIAK (DPT)

  • 4710 FALCON CT

    WISCONSIN RAPIDS, WI 544942640

    Phone: (715) 572-0864

    Type: Mailing

  • 24th Street South, Wisconsin Rapids, Town of Grand Rapids, Wood County, Wisconsin, 54494, United States

    WISCONSIN RAPIDS, WI 544941906

    Phone: (715) 424-1881

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-11-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171130002107IPhysical Therapist In Private PracticeWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,00369$0
97140Therapy procedure using manual technique, each 15 minutes28835$0
97161Evaluation for physical therapy, typically 20 minutes4948$0
View full utilization report →

Insurance plans in this area (ZIP 54494)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880607431View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWI
P O D I A T R YWI
Physical Therapist In Private PracticeWI
Occupational Therapist In Private PracticeAK
Physician AssistantWI
-WI
Occupational Therapist In Private PracticeWI
Nurse PractitionerWI
Orthopedic SurgeryWI
Occupational Therapist In Private PracticeWI

Reviews

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Frequently asked questions

How do I look up STEVEN WAYNE KUBISIAK (DPT) by NPI?
Use NPI 1225480478 when you need to reference STEVEN WAYNE KUBISIAK (DPT) in forms, claims, or directories.
Is STEVEN WAYNE KUBISIAK (DPT)'s NPI currently valid?
The extract we use shows STEVEN WAYNE KUBISIAK (DPT) as active.
Does STEVEN WAYNE KUBISIAK (DPT) list a primary specialty?
If you are matching referrals, note Physical Therapist for STEVEN WAYNE KUBISIAK (DPT). Clinical services aligned with this taxonomy classification.
What location metadata exists for STEVEN WAYNE KUBISIAK (DPT)?
The page summarizes Wisconsin Rapids, Wisconsin for STEVEN WAYNE KUBISIAK (DPT); expand the address list for detail.
How can I contact STEVEN WAYNE KUBISIAK (DPT)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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