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

Jacob Pericak, DPT

Individual provider Physical Therapist · NPI 1215709696

Jacob Pericak, DPT is a Physical Therapist in Milwaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2023.

Licensed in
WI
In the registry since
2023
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

900 N 92nd St
Milwaukee, WI 53226-1202
Phone: (414) 805-3000
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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 15823-24 (WI)

Record details

NPI number1215709696
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedOctober 27, 2023
Last updated in NPPESOctober 27, 2023
Certification dateOctober 27, 2023

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