PHYSICAL THERAPY OF MILWAUKEE, LLC – Physical Therapist, NPI 1629411202
Physical Therapist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for PHYSICAL THERAPY OF MILWAUKEE, LLC
PO BOX 6595
BEND, OR 977086595
Phone: (414) 281-3444
Fax: (541) 550-7356
Type: Mailing
3906 S 27TH ST
MILWAUKEE, WI 532211826
Phone: (414) 702-4678
Fax: (414) 423-4134
Type: Location
1238 S Cesar Chavez Drive Front
Milwaukee, WI 53221
Phone: (414) 281-3444
Fax: (414) 281-3435
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2013-07-23
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-07-31 (319 days ago).
Enrollment records
1
Earliest due date
2025-07-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20130723000413 | O | Physical/Occupational Therapy Group In Private Practice | WI | 2025-07-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97708)
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