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

Stephanie A Mikoliczak, PT

Individual provider Physical Therapist · NPI 1164672911

Stephanie A Mikoliczak, PT is a Physical Therapist in Private Practice in Woodruff, Wisconsin. Qualified in 2008, 18 years ago. Practices with Lac Du Flambeau Band of Lake Superior Chippewa Indians, a 19-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
18
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

240 Maple St
Woodruff, WI 54568-9190
Phone: (715) 356-8000
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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 11087-24 (WI)

Record details

NPI number1164672911
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedSeptember 29, 2008
Last updated in NPPESSeptember 29, 2008

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Lac Du Flambeau Band Of Lake Superior Chippewa Indians — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Woodruff