Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mason Connor McManimon-Myers, PT, DPT, ATC

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1508336405

Mason Connor McManimon-Myers, PT, DPT, ATC is a Physical Therapist in Private Practice in LA Crosse, Wisconsin. Qualified in 2022, 4 years ago. Practices with Gundersen Clinic Ltd, a 427-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
4
Licensed in
WI
In the registry since
2018
Specialties on file
4
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

LA Crosse, WI

No coordinates on file. Search this address in Google Maps

Additional practice locations (2)

  • 636 Dump Hill Rd, Rushford, MN 55971 — (507) 858-4472
  • 1050 Division St, Mauston, WI 53948-1931 — (608) 847-6161

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 15888-24 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X · Licence 2305 (WI)
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1508336405
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT , ATC
Sole proprietorYes
NPI enumeratedDecember 4, 2018
Last updated in NPPESMay 2, 2024
Certification dateMay 2, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Gundersen Clinic Ltd — 427 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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