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West Bend Clinic, Inc.

NPI 1043220692ActiveOrganization· Physical Therapist· West Bend, WI

Physical Therapist in West Bend, Wisconsin, registered in NPPES in August 2006. The authorized official on file is Gregory G. Blommel, Administrator.

Overview

NPI1043220692
StatusActive
Entity typeOrganization
NPI issuedAug 8, 2006
Last updated in NPPESMay 23, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X——
Dermatology207N00000X——
Surgery, Plastic and Reconstructive Surgery2086S0122X——
Occupational Therapy Assistant224Z00000X——
Physical Therapy Assistant225200000X——
Occupational Therapist225X00000X——
Speech-Language Pathologist235Z00000X——
Durable Medical Equipment & Medical Supplies332B00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other physical therapists in West Bend

All 89 physical therapists in West Bend · All physical therapists in Wisconsin