Lara A. Bleck, PT
NPI 1114002623ActiveIndividual· Physical Therapist· Appleton, WI
Physical Therapist (PT) with Advanced Physical Therapy and Sports Medicine SC, practicing in Appleton, Wisconsin. Medicare paid $12,368 for services to 16 patients in 2024.
Overview
| NPI | 1114002623 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | No |
| NPI issued | Oct 25, 2006 |
| Last updated in NPPES | Jul 11, 2025 |
| Certified by provider | Jul 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 6128024 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 16 |
|---|---|
| Services billed | 638 across 11 procedure codes |
| Paid by Medicare | $12,368 |
Education and affiliations
| Graduation year | 1993 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Advanced Physical Therapy and Sports Medicine SCAppleton, WI · 61 clinicians
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