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

Paul Anthony Wambold, PT

Individual provider Physical Therapist · NPI 1508956855

Paul Anthony Wambold, PT is a Physical Therapist in Madison, Wisconsin. Licensed in Illinois and Minnesota. Registered with an NPI since 2006.

Licensed in
IL, MN
In the registry since
2006
Specialties on file
2
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

4602 Eastpark Blvd
Madison, WI 53718-2002
Phone: (608) 440-6440
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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 070020702 (IL)
Physical Therapist Taxonomy 225100000X · Licence 7368 (MN)

Record details

NPI number1508956855
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedOctober 14, 2006
Last updated in NPPESApril 23, 2021
Certification dateApril 23, 2021

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