Healthcare Provider Details

I. General information

NPI: 1861358178
Provider Name (Legal Business Name): NORTHWOODS PT HOLDINGS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2025
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

252 WISCONSIN 70
SAINT GERMAIN WI
54558
US

IV. Provider business mailing address

8217 GRUNDY POINT RD
WOODRUFF WI
54568-9612
US

V. Phone/Fax

Practice location:
  • Phone: 715-890-8488
  • Fax: 715-318-0204
Mailing address:
  • Phone: 715-890-8488
  • Fax: 715-318-0204

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: ZACHARY JOHN TROYER
Title or Position: PHYSICAL THERAPIST
Credential:
Phone: 715-890-8488