Profectus Physical Therapy LLC
NPI 1245776590ActiveOrganization· Physical Therapist· Kenosha, WI
Physical Therapist in Kenosha, Wisconsin, registered in NPPES in January 2017. The authorized official on file is Darren Louis Nelson, DPT, Owner.
Overview
| NPI | 1245776590 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 10, 2017 |
| Last updated in NPPES | Jan 10, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 11955-024 | 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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