John R. Van Susteren, PT
NPI 1619192150ActiveIndividual· Physical Therapist· Lake Geneva, WI
Physical Therapist (PT) in Lake Geneva, Wisconsin, licensed in WI, with an NPI issued in April 2007. Medicare paid $103,978 for services to 48 patients in 2024.
Overview
| NPI | 1619192150 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | Yes |
| NPI issued | Apr 17, 2007 |
| Last updated in NPPES | Sep 29, 2026 |
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 Practitioner - Physical Therapist in Private Practice (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 48 |
|---|---|
| Services billed | 5,196 across 9 procedure codes |
| Paid by Medicare | $103,978 |
Education and affiliations
| Graduation year | 1987 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
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All 44 physical therapists in Lake Geneva · All physical therapists in Wisconsin