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Great Lakes Physical Therapy, LLC

Physical Therapist in Sheboygan, WI · enumerated 2006 · authorized official Joe Moore, Owner.

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

National Provider Identifier

1124105028

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Registry record

Entity type Organization (Type 2)
Legal business name Great Lakes Physical Therapy, LLC
Practice address 3303 Superior Ave, Sheboygan, WI, 53081
Phone (920) 208-3557
Fax (920) 208-3527
Enumeration date Nov 1, 2006
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

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

Authorized official

Name Joe Moore
Title Owner
Phone (920) 208-3557

Other identifiers

Identifier Type State Issuer
40420500 Medicaid WI -
7725040 Other WI AETNA

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.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Great Lakes Physical Therapy, LLC?
Great Lakes Physical Therapy, LLC is registered in NPPES as a Physical Therapist (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.