Crysta Clark, DPT
NPI 1992315287ActiveIndividual· Physical Therapist· Mukwonago, WI
Physical Therapist (DPT) in Mukwonago, Wisconsin, licensed in WI, with an NPI issued in August 2020. Medicare paid $46,928 for services to 76 patients in 2024.
Overview
| NPI | 1992315287 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | No |
| NPI issued | Aug 3, 2020 |
| Last updated in NPPES | Feb 3, 2026 |
| Certified by provider | Feb 3, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 15117 | 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 76 |
|---|---|
| Services billed | 2,868 across 13 procedure codes |
| Paid by Medicare | $46,928 |
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All 22 physical therapists in Mukwonago · All physical therapists in Wisconsin