Full Circle Therapy and Wellness LLC
NPI 1104619550ActiveOrganization· Physical Therapist· De Pere, WI
Physical Therapist in De Pere, Wisconsin, registered in NPPES in May 2025. The authorized official on file is Denise Coppens, Billing Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1104619550 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 28, 2025 |
| Last updated in NPPES | Jun 4, 2025 |
| Certified by provider | Jun 4, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WI) |
|---|
Other physical therapists in De Pere
- 1033588579
- 1043901218
- 1114305471
- 1124175872
- 1265119044
- 1336597335
- 1346728847
- 1487667192
- 1518533868
- 1558477307
- 1649647173
- 1669005179
All 50 physical therapists in De Pere · All physical therapists in Wisconsin