Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

West Bend Clinic, Inc.

Physical Therapist in West Bend, WI · enumerated 2006 · authorized official Gregory Blommel, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1043220692

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Registry record

Entity type Organization (Type 2)

Legal business name West Bend Clinic, Inc.

Other name <Unavail>

Practice address 1190 E Paradise Dr, West Bend, WI, 53095

Phone (262) 306-6319

Enumeration date Aug 8, 2006

Last updated in NPPES May 23, 2012

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians Secondary

2086S0122X Plastic and Reconstructive Surgery Physician Allopathic & Osteopathic Physicians Secondary

224Z00000X Occupational Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Primary

225200000X Physical Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary

225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary

235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers Secondary

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary

Authorized official

Name Gregory Blommel

Title Administrator

Phone (262) 334-3451

Other identifiers

Identifier	Type	State	Issuer
21251400	Medicaid	WI	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is West Bend Clinic, Inc. located?

The practice location on file with NPPES is in West Bend, WI.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2012-05-23. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-05-23.