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

John R Van Susteren, PT

Individual provider Physical Therapist · NPI 1619192150

John R Van Susteren, PT is a Physical Therapist in Private Practice in Lake Geneva, Wisconsin. Qualified in 1987, 39 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
39
Licensed in
WI
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

800 Geneva Pkwy N Ste 3
Lake Geneva, WI 53147-5701
Phone: (262) 248-9902
Fax: (262) 248-9419
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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 4467024 (WI)

Record details

NPI number1619192150
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedApril 17, 2007
Last updated in NPPESApril 5, 2010

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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