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

Mr. Michael J Kicera Jr., PT

Individual provider Physical Therapist · NPI 1164609632

Mr. Michael J Kicera Jr., PT is a Physical Therapist in Private Practice in Madison, Wisconsin. Qualified in 1997, 29 years ago. Practices with Dean Health Systems Inc, a 1,184-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
29
Licensed in
WI
In the registry since
2008
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1821 S Stoughton Rd Dean Medical Ctr
Madison, WI 53716-2257
Phone: (608) 260-6905
Fax: (608) 260-6906
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 6347-024 (WI)

Record details

NPI number1164609632
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJanuary 28, 2008
Last updated in NPPESDecember 27, 2020
Certification dateDecember 27, 2020

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Dean Health Systems Inc — 1184 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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