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

Nicholas Thiel

Individual provider Physical Therapist · NPI 1700541083

Nicholas Thiel is a Physical Therapist in Private Practice in Antigo, Wisconsin. Qualified in 2021, 5 years ago. Practices with Body Renovation Physical Therapy SC, a 14-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2021

Practice location Address checks out

720 Ackley St
Antigo, WI 54409-2405
Phone: (715) 623-2292
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1700541083
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 2, 2021
Last updated in NPPESNovember 2, 2021
Certification dateNovember 2, 2021
Mailing address586 Shepard St, Rhinelander, WI 54501-3552

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Body Renovation Physical Therapy Sc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Antigo