Optimal Physical Therapy, LLC
NPI 1508887464ActiveOrganization· Physical Therapist· Lake Mills, WI
Physical Therapist in Lake Mills, Wisconsin, registered in NPPES in July 2006. The authorized official on file is Julie Larson, Office Manger. Enrolled in Medicare as dme supplier - independently-practicing physical therapist and part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1508887464 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 23, 2006 |
| Last updated in NPPES | Oct 23, 2025 |
| Certified by provider | Oct 23, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | 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 DME Supplier - Independently-Practicing Physical Therapist (WI); Part B Supplier - Physical/Occupational Therapy Group in Private Practice (WI) |
|---|
Other physical therapists in Lake Mills
- 1154924991
- 1609898717
- 1902254550
- 1821402249
- 1063652667
- 1205094075
- 1841216207