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

Dr. Michael R Scales, DPT, LAT, ATC

Individual provider Physical Therapist · NPI 1326395369

Dr. Michael R Scales, DPT, LAT, ATC is a Physical Therapist in Private Practice in Glendale, Wisconsin. Qualified in 2019, 7 years ago. Practices with Lakeshore Medical Clinic LLC, a 379-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
7
Licensed in
WI
In the registry since
2012
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

4655 N Port Washington Rd Ste 350
Glendale, WI 53212-1004
Phone: (414) 332-7475
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 E Ryan Rd Fl 3, Oak Creek, WI 53154-4563 — (414) 570-7600

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 11219-24 (WI)

Record details

NPI number1326395369
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT , LAT , ATC
Sole proprietorNo
NPI enumeratedAugust 9, 2012
Last updated in NPPESMarch 19, 2025
Certification dateMarch 19, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Lakeshore Medical Clinic Llc — 379 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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