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

Gunther Dedamos

Individual provider Physical Therapist · NPI 1386360832

Gunther Dedamos is a Physical Therapist in Private Practice in Green Bay, Wisconsin. Qualified in 2022, 4 years ago. Practices with Athletic and Therapeutic Institute of Milwaukee, LLC, a 48-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2022
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Practice location Address checks out

2664 S Oneida St Ste 102
Green Bay, WI 54304-5615
Phone: (920) 321-5700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1386360832
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 17, 2022
Last updated in NPPESMay 31, 2024
Certification dateMay 31, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Athletic And Therapeutic Institute Of Milwaukee, Llc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Green Bay