Lydia Gruben, PT, DPT, LMT
NPI 1164383345ActiveIndividual· Physical Therapist· Bloomer, WI
Physical Therapist (PT, DPT, LMT) in Bloomer, Wisconsin, licensed in WI, with an NPI issued in November 2025.
Overview
| NPI | 1164383345 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT, LMT |
| Sole proprietor | Yes |
| NPI issued | Nov 18, 2025 |
| Last updated in NPPES | Nov 18, 2025 |
| Certified by provider | Nov 18, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 17506-24 | 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other physical therapists in Bloomer
- 1114696390
- 1518174192
- 1568679199
- 1598805210
- 1780368621
- 1811015274
- 1225244916
- 1336344985
- 1902329030
- 1528627320
- 1811440134
- 1336491794
All 23 physical therapists in Bloomer · All physical therapists in Wisconsin