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

Individual provider Physical Therapy Assistant · NPI 1376883280

Diane Fortek, PTA is a Physical Therapy Assistant in Brookfield, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2013
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

19395 W Capitol Dr Ste 200
Brookfield, WI 53045-2736
Phone: (414) 327-6603
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 1919-19 (WI)

Record details

NPI number1376883280
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedMarch 1, 2013
Last updated in NPPESFebruary 11, 2017

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