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FIVE CORNERS PHYSICAL THERAPY S.C.
NPI 1427195304
Speech-Language Pathologist in Cedarburg, WI

Active since January 31, 2007
7269 STATE ROAD 60, SUITE 1, CEDARBURG, WI 53012(262) 377-8350(262) 377-8390 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Five Corners Physical Therapy S.c. NPPES

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

FIVE CORNERS PHYSICAL THERAPY S.C. (NPI 1427195304) is a healthcare organization registered as a speech-language pathologist in Cedarburg, Wisconsin and active in the NPI registry since January 2007. The organization lists Timothy John Provencher, President, as its authorized official.

NPPES Registry Identity

NPI1427195304
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameFIVE CORNERS PHYSICAL THERAPY S.C.
Location Address7269 STATE ROAD 60, SUITE 1Cedarburg, WI 53012-9702
Mailing Address7269 State Road 60, Suite 1Cedarburg, WI 53012-9702 · (262) 377-8350 · Fax (262) 377-8390
Phone(262) 377-8350
Fax(262) 377-8390
Organization SubpartNo
Authorized OfficialTimothy John ProvencherPresident · (262) 377-8350
Enumeration DateJanuary 31, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1427195304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in WI · 1504-154
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Also ListedPhysical TherapistTaxonomy 225100000X · License 4146-024 (WI)
7269 STATE ROAD 60, Cedarburg, WI 53012
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Other Identifiers 1

Medicaid40302100WI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Five Corners Physical Therapy S.C.'s NPI number?

The NPI number for Five Corners Physical Therapy S.C. is 1427195304. It was assigned to this organization in the NPPES registry on January 31, 2007.

Where is Five Corners Physical Therapy S.C. located?

Five Corners Physical Therapy S.C. is located at 7269 State Road 60 Suite 1, Cedarburg, WI 53012. The listed phone number is (262) 377-8350.

What is Five Corners Physical Therapy S.C.'s specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Five Corners Physical Therapy S.C. was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.