Lakes Area Physical Therapy, LLC
NPI 1588845804ActiveOrganization· Physical Therapist· Lake Geneva, WI
Physical Therapist in Lake Geneva, Wisconsin, registered in NPPES in November 2007. The authorized official on file is John R. Van Susteren, Physical Therapis / Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1588845804 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 15, 2007 |
| Last updated in NPPES | Apr 7, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 4467024 | 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 Part B Supplier - Clinic/Group Practice (WI) |
|---|
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