GREAT LAKES PHYSICAL THERAPY, LLC
NPI 1124105028
Physical Therapist in Sheboygan, WI

Active since November 01, 2006
3303 SUPERIOR AVE, SHEBOYGAN, WI 53081(920) 208-3557(920) 208-3527 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Great Lakes Physical Therapy, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREAT LAKES PHYSICAL THERAPY, LLC (NPI 1124105028) is a healthcare organization registered as a physical therapist in Sheboygan, Wisconsin and active in the NPI registry since November 2006. The organization lists Joe E Moore, Owner, as its authorized official.

NPPES Registry Identity

NPI1124105028
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameGREAT LAKES PHYSICAL THERAPY, LLC
Location Address3303 SUPERIOR AVESheboygan, WI 53081-1861
Mailing Address3303 Superior AveSheboygan, WI 53081-1861 · (920) 208-3557 · Fax (920) 208-3527
Fax(920) 208-3527
Organization SubpartNo
Authorized OfficialJoe E MooreOwner · (920) 208-3557
Enumeration DateNovember 1, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1124105028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
3303 SUPERIOR AVE, Sheboygan, WI 53081

Other Identifiers 2

Other7725040WI · Aetna
Medicaid40420500WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies
3303 SUPERIOR AVE
SHEBOYGAN, WI 53081
Physical Therapy Assistant
3303 SUPERIOR AVE
SHEBOYGAN, WI 53081
Physical Therapist
3303 SUPERIOR AVE
SHEBOYGAN, WI 53081
Physical Therapist
3303 SUPERIOR AVE
SHEBOYGAN, WI 53081
Physical Therapist
3303 SUPERIOR AVE
SHEBOYGAN, WI 53081
Speech-Language Pathologist
3303 SUPERIOR AVE
SHEBOYGAN, WI 53081

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Great Lakes Physical Therapy, LLC's NPI number?

The NPI number for Great Lakes Physical Therapy, LLC is 1124105028. It was assigned to this organization in the NPPES registry on November 1, 2006.

Where is Great Lakes Physical Therapy, LLC located?

Great Lakes Physical Therapy, LLC is located at 3303 Superior Ave, Sheboygan, WI 53081. The listed phone number is (920) 208-3557.

What is Great Lakes Physical Therapy, LLC's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

When was this NPI record last updated?

The NPPES record for Great Lakes Physical Therapy, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.