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

Michelle Tavera, DPT

Individual provider Pediatric Physical Therapist · NPI 1639027675

Michelle Tavera, DPT is a Pediatric Physical Therapist in Superior, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2026.

Licensed in
WI
In the registry since
2026
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

1423 Central Ave
Superior, WI 54880-5963
Phone: (715) 394-8785
Show map & directions

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

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence 4260-24 (WI)

Record details

NPI number1639027675
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials DPT
Sole proprietorNo
NPI enumeratedMarch 17, 2026
Last updated in NPPESMarch 17, 2026
Certification dateMarch 17, 2026