Mitchell Kannal
Physical Therapist · Kewaskum, WI
Mitchell Kannal is a physical therapist with a practice address in Kewaskum, Wisconsin, and NPI 1255082350, issued on Jan 11, 2022. Check the license (Wisconsin 13543-24, as entered in NPPES) with the Wisconsin board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Mitchell Kannal
- Primary taxonomy
- Physical Therapist 225100000X
- License number
- 13543-24 WI
Self-reported in NPPES; status is on the state search - Practice location
- 1701 Fond DU Lac Ave, Kewaskum, WI 53040
- Phone
- (262) 626-4616
- Enumerated
- Jan 11, 2022
- Record last updated
- Oct 9, 2025
- Medicare enrollment
- Enrolled (PECOS I20220315000746); accepts Medicare assignment
- Entity
- Type 1 · individual
Also registered at 1701 Fond DU Lac Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Christopher Budny, MDInternal Medicine Physician1598783995
- Tracy Derksen, APNPFamily Nurse Practitioner1497304612
- Mateusz Gwizdala, MDFamily Medicine Physician1821580135
- Meghan Kelley, APNPFamily Nurse Practitioner1861157638
- Melanee Krumhus, APNPNurse Practitioner1871451112
- Jennifer Nogalski, APNPFamily Nurse Practitioner1548743586
Verify Mitchell Kannal in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Wisconsin board licenses this profession
Search for license 13543-24Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Froedtert Andthe Medical College OF Wisconsin Community Physicians IncKewaskum, WI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
2 physical therapist records list a practice address in Kewaskum
They are 2 of the 42 NPPES records with a practice address in Kewaskum, and 6,585 physical therapist records in Wisconsin.
All 2 in Kewaskum → All 6,585 in Wisconsin → Every provider in Kewaskum →
Other physical therapist records in Wisconsin
- Jared Aarsvold, PT, DPTAltoona, WI1356208060
- Delia Abano, PTRhinelander, WI1780028852
- Mikayla Abbeduto, DPTWaukesha, WI1316513955
- Michelle Abbott, PT, DPTHudson, WI1508725698
- Nicole Abdo, DPTGreen Bay, WI1225315096
- Heather AbelsElkhorn, WI1760598064
- Kelsey Abendroth, PTNew London, WI1548783228
- Paul Abler, P.T.Hartland, WI1235281254
- Nada Abouelnaga, DPTAmery, WI1902632045
- Anne Abraham, PTMadison, WI1205903523
Common questions
What is Mitchell Kannal's NPI number?
Mitchell Kannal's National Provider Identifier (NPI) is 1255082350, issued on Jan 11, 2022. An NPI identifies a provider in billing; it is not a license.
Where is Mitchell Kannal located?
The NPPES record lists a practice address at 1701 Fond DU Lac Ave, Kewaskum, WI, 53040. Phone: (262) 626-4616. Providers update this record themselves, so call before visiting.
How can I verify Mitchell Kannal's license?
NPPES lists Wisconsin license number 13543-24, as entered by the provider. Search the Wisconsin board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.