Sophia Genevieve Virgallito, PT in Rice Lake, WI - Medicare Physical Therapist Provider

Sophia Genevieve Virgallito, PT is a medicare enrolled "Physical Therapist" provider in Rice Lake, Wisconsin. Her current practice location is 1700 W Stout St, Rice Lake, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 236-8100.

Sophia Genevieve Virgallito is licensed to practice in Wisconsin (license number CP050038T) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1225846223.

Contact Information

	Sophia Genevieve Virgallito, PT
	1700 W Stout St, Rice Lake, WI 54868-5000
	(715) 236-8100
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Sophia Genevieve Virgallito
Gender	Female
Speciality	Physical Therapist
Location	1700 W Stout St, Rice Lake, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225846223
Provider Enumeration Date: 12/21/2024
Last Update Date: 10/06/2025

Medicare PECOS Information:

PECOS PAC ID: 7517489453
Enrollment ID: I20250319004149

Medical Identifiers

Medical identifiers for Sophia Genevieve Virgallito such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225846223	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	CP050038T (Wisconsin)	Primary
225100000X	Physical Therapist	PT021492 (Ohio)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Sophia Genevieve Virgallito allows following entities to bill medicare on her behalf.

Provider Name	Optimum Health And Wellness Physical Therapy Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1649577578 PECOS PAC ID: 3870775604 Enrollment ID: O20110315000559

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sophia Genevieve Virgallito is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Sophia Genevieve Virgallito, PT 1700 W Stout St, Rice Lake, WI 54868-5000 Ph: (715) 236-8100	Sophia Genevieve Virgallito, PT 1700 W Stout St, Rice Lake, WI 54868-5000 Ph: (715) 236-8100

Reviews and Comments

Physical Therapist in Rice Lake, WI

Samantha Barg, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1035 N. Main Street, Rice Lake, WI 54868 Phone: 936-203-3328
Randall Roseen, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-236-0753
Natures Edge Therapy Center Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2523 14 3/4 Ave, Rice Lake, WI 54868 Phone: 715-859-6670
Michelle J Perlick, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1051 West Ave, Rice Lake, WI 54868 Phone: 715-719-0662
Ashley Rae Knutson, DPT, LAT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1051 West Ave, Rice Lake, WI 54868 Phone: 715-719-0662
Courtney M Konop, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: Lakeview Medical Center Inc Of Rice Lake, 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-236-8100

Sophia Genevieve Virgallito, PT - Medicare Physical Therapist in Rice Lake, WI