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

Joseph Michael Lidester, PTA

Individual provider Physical Therapy Assistant · NPI 1457803850

Joseph Michael Lidester, PTA is a Physical Therapy Assistant in Milwaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2016.

Licensed in
WI
In the registry since
2016
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

9047 W Greenfield Ave
Milwaukee, WI 53214-2808
Phone: (414) 453-9290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2578-19 (WI)

Record details

NPI number1457803850
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedNovember 1, 2016
Last updated in NPPESNovember 1, 2016

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