Oconto Physical Therapy, LLC
NPI 1124016407ActiveOrganization· Physical Therapist· Green Bay, WI
Physical Therapist in Green Bay, Wisconsin, registered in NPPES in October 2005. The authorized official on file is Cynthia L. Willette, Billing Manager.
Overview
| NPI | 1124016407 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 11, 2005 |
| Last updated in NPPES | Aug 27, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 1934 | WI |
| Physical Therapist | 225100000X | 2368 | 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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