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

Michelle Tavera, DPT

Individual provider Pediatric Physical Therapist · NPI 1639027675

Michelle Tavera, DPT is a Pediatric Physical Therapist in Superior, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2026.

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.

See every abbreviation used in this directory →

Practice location Address checks out

1423 Central Ave
Superior, WI 54880-5963
Phone: (715) 394-8785
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence 4260-24 (WI)

Record details

NPI number1639027675
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials DPT
Sole proprietorNo
NPI enumeratedMarch 17, 2026
Last updated in NPPESMarch 17, 2026
Certification dateMarch 17, 2026
Mailing address1423 Central Ave, Superior, WI 54880-5963