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

Dr. Katelyn Maydaniuk, DPT

Individual provider Physical Therapist · NPI 1104434182

Dr. Katelyn Maydaniuk, DPT is a Physical Therapist in Private Practice in Wauwatosa, Wisconsin. Qualified in 2020, 6 years ago. Practices with Aretas01 LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
6
Licensed in
WI
In the registry since
2020
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

10930 W Potter Rd Ste C
Wauwatosa, WI 53226-3450
Phone: (414) 400-6556
Fax: (414) 400-6557
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1508624 (WI)

Record details

NPI number1104434182
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJuly 16, 2020
Last updated in NPPESMay 7, 2024
Certification dateMay 7, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Aretas01 Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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