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

Michael Benjamin Kowitz

Individual provider Physical Therapist · NPI 1871485136

Michael Benjamin Kowitz is a Physical Therapist in Private Practice in Antigo, Wisconsin. Qualified in 2025, 1 year ago. Practices with Central Iowa Physio LLC, a 19-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Iowa and Wisconsin.

Years since qualifying
1
Licensed in
IA, WI
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

112 E 5th Ave
Antigo, WI 54409-2710
Phone: (715) 623-9449
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1307 S Broadway St, Toledo, IA 52342-2307 — (641) 484-5253
  • 2628 Castle Pl, La Crosse, WI 54601-6492 — (641) 484-5253

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 17382-024 (WI)
Physical Therapist Taxonomy 225100000X · Licence CP046740T (IA)

Record details

NPI number1871485136
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 19, 2025
Last updated in NPPESOctober 30, 2025
Certification dateOctober 30, 2025
Mailing address112 E 5th Ave, Antigo, WI 54409-2710

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 Central Iowa Physio Llc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Antigo