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

Nicholas John Stevens, PTA

Individual provider Physical Therapy Assistant · NPI 1649811035

Nicholas John Stevens, PTA is a Physical Therapy Assistant in Grantsburg, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2019.

Licensed in
WI
In the registry since
2019
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

257 W Saint George Ave
Grantsburg, WI 54840-7827
Phone: (715) 463-5353
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 3003-19 (WI)

Record details

NPI number1649811035
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedOctober 7, 2019
Last updated in NPPESOctober 7, 2019
Mailing address512 235th Ave, Cumberland, WI 54829-9307

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