Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob Monfils, DPT

Individual provider Physical Therapist · NPI 1699606566

Jacob Monfils, DPT is a Physical Therapist in Private Practice in Shawano, Wisconsin. Qualified in 2025, 1 year ago. Practices with Advanced Physical Therapy and Sports Medicine SC, a 61-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
1
Licensed in
WI
In the registry since
2026
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

212 E Green Bay St Ste A
Shawano, WI 54166-2472
Phone: (715) 526-5221
Fax: (715) 526-2542
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 270 N Main St, Clintonville, WI 54929-1104 — (715) 526-5221

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 17738-24 (WI)

Record details

NPI number1699606566
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedMay 28, 2026
Last updated in NPPESMay 28, 2026
Certification dateMay 28, 2026
Mailing address2105 E Enterprise Ave Ste 113, Appleton, WI 54913-7862

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Advanced Physical Therapy And Sports Medicine Sc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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