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

Keith M Hatch, PT

Individual provider Physical Therapist · NPI 1417081787

Keith M Hatch, PT is a Physical Therapist in Private Practice in Sturtevant, Wisconsin. Qualified in 1992, 34 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
34
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

1611 Renaissance Blvd
Sturtevant, WI 53177-1741
Phone: (262) 886-2599
Fax: (262) 886-5767
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 4359-024 (WI)

Record details

NPI number1417081787
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedMarch 16, 2007
Last updated in NPPESNovember 28, 2016
Mailing address1623 Wiese Ln., Racine, WI 53406

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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