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

Great Lakes Healthcare, Inc

Organization Physical Therapist · NPI 1184282618

Great Lakes Healthcare, Inc is a Physical Therapist in Germantown, Wisconsin. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

W175N11117 Stonewood Dr Ste 100
Germantown, WI 53022-6505
Phone: (208) 401-1369
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X
Physical Therapist Taxonomy 225100000X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1184282618
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lee Johnson — Treasurer · (208) 401-1369
Other names Preceptor Therapy
NPI enumeratedMay 30, 2019
Last updated in NPPESMarch 17, 2021
Certification dateMarch 17, 2021
Mailing addressW175n11117 Stonewood Dr Ste 100, Germantown, WI 53022-6505

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