MRS. LISA M MACHOTKA (PT) – Physical Therapist, NPI 1790853786
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,991 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WI
Provider Addresses for MRS. LISA M MACHOTKA (PT)
661 Westport Ct
Port Edwards, WI 544691176
Phone: (715) 491-2660
Type: Location
1767 PARK AVE
PLOVER, WI 544674301
Phone: (715) 344-1260
Type: Location
225000 HUMMINGBIRD RD STE 100
WAUSAU, WI 544012950
Phone: (715) 359-6442
Fax: (715) 393-0390
Type: Mailing
661, Westport Court, Port Edwards, Wood County, Wisconsin, 54469, United States
PORT EDWARDS, WI 544691176
Phone: (715) 491-2660
Type: Mailing
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: 2007-02-02
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070202000401 | I | Physical Therapist In Private Practice | WI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 516 | 63 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 205 | 37 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 160 | 37 | $0 |
| 97530 | Therapy procedure using functional activities | 76 | 24 | $0 |
| 97162 | Evaluation for physical therapy, typically 30 minutes | 50 | 47 | $0 |
Insurance plans in this area (ZIP 54469)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | WI | |
| Orthopedic Surgery | WI | |
| Nurse Practitioner | WI | |
| - | WI | |
| Physician Assistant | WI | |
| Physical Therapist In Private Practice | WI | |
| Pain Management | WI | |
| Physical Medicine And Rehabilitation, Interventional Pain Management | WI | |
| Physical Medicine And Rehabilitation | CA | |
| Physical Therapist In Private Practice | KY |
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