Elizabeth Marie Mortag, DPT
NPI 1134522170ActiveIndividual· Physical Therapist· Jackson, WI
Physical Therapist (DPT) with Froedtert Andthe Medical College of Wisconsin Community Physicians Inc and 1 other group, practicing in Jackson, Wisconsin. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1134522170 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | Yes |
| NPI issued | Oct 5, 2014 |
| Last updated in NPPES | Dec 10, 2024 |
| Certified by provider | Dec 10, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 12680-24 | WI |
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 Practitioner - Physical Therapist in Private Practice (WI) |
|---|
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- Froedtert Andthe Medical College of Wisconsin Community Physicians IncWauwatosa, WI · 1,285 clinicians
- Trinity Senior Services Care Partnering LLCMilwaukee, WI · 7 clinicians
Other physical therapists in Jackson
- 1023301710
- 1285675926
- 1487260774
- 1730929472