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Pinnacle Physical Therapy LLC

NPI 1316977630ActiveOrganization· Physical Therapist· West Bend, WI

Physical Therapist in West Bend, Wisconsin, registered in NPPES in July 2006. The authorized official on file is Douglas Mazur, MS PT, Owner/Physical Therapist.

Overview

NPI1316977630
StatusActive
Entity typeOrganization
NPI issuedJul 3, 2006
Last updated in NPPESAug 22, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X4798WI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other physical therapists in West Bend

All 89 physical therapists in West Bend · All physical therapists in Wisconsin