Physically Correct Physical Therapy Services, LLC
NPI 1710323563ActiveOrganization· Specialist/Technologist, Other· Greendale, WI
Specialist/Technologist, Other in Greendale, Wisconsin, registered in NPPES in May 2013. The authorized official on file is Philip William Bergold, PT, Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1710323563 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 21, 2013 |
| Last updated in NPPES | May 21, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist/Technologist, Other Primary | 246Z00000X | 5058-024 | 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 - Physical/Occupational Therapy Group in Private Practice (WI) |
|---|