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

Joseph Kucksdorf, PT

Individual provider Physical Therapist · NPI 1093035859

Joseph Kucksdorf, PT is a Physical Therapist in Private Practice in Green Bay, Wisconsin. Qualified in 2010, 16 years ago. Practices with Bellin Memorial Hospital Inc, a 681-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
16
Licensed in
WI
In the registry since
2010
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

3263 Eaton Rd
Green Bay, WI 54311-6830
Phone: (920) 433-6700
Fax: (920) 430-4745
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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 11460-24 (WI)

Record details

NPI number1093035859
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 3, 2010
Last updated in NPPESJune 3, 2010

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Bellin Memorial Hospital Inc — 681 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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