Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Five Corners Physical Therapy SC

Organization Physical Therapist · NPI 1427195304

Five Corners Physical Therapy SC is a Physical Therapist in Cedarburg, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
Specialties on file
2

Practice location Address checks out

7269 State Road 60 Ste 1
Cedarburg, WI 53012-9702
Phone: (262) 377-8350
Fax: (262) 377-8390
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 1504-154 (WI)
Physical Therapist Taxonomy 225100000X · Licence 4146-024 (WI)

Record details

NPI number1427195304
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Provencher — President · (262) 377-8350
NPI enumeratedJanuary 31, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address7269 State Road 60, Suite 1, Cedarburg, WI 53012-9702

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